国内腹腔镜袖状胃切除治疗肥胖术后并发症系统分析  

Postoperative complications of laparoscopic sleeve gastrectomy for obesity in China: a systematic analysis

作　　者：杨志伟[1] 朱大勇[1] 宋海彬[1] 陈杨[1] 毛晓光[1] 

机构地区：[1]黑龙江省医院香坊院区,黑龙江哈尔滨150036

出　　处：《腹腔镜外科杂志》2015年第1期5-9,共5页Journal of Laparoscopic Surgery

基　　金：黑龙江省卫生计生委科研课题(编号:2014-136)

摘　　要：目的:探讨国内开展腹腔镜袖状胃切除术(laparoscopic sleeve gastrectomy,LSG)术后并发症的发生情况。方法:检索万方、知网数据库、Pub Med数据库,查找有关国内施行SLG治疗肥胖患者的文献,制定纳入与排除标准,筛选文献,并对文献质量进行评价,提取数据,进行系统分析。结果:纳入分析的文献共13篇,共计453例。国内LSG术后并发症主要有吻合口漏、吻合口狭窄、食管反流等,术后并发症总体发生率为7.95%(36/453),总体死亡率为0。结论:SLG作为外科减肥手术具有术后并发症发生率低、手术安全、操作简单的优点,可作为国内病态性肥胖患者减重的首选术式。Objective： To investigate the postoperative complications of laparoscopic sleeve gastrectomy（ LSG） since its use in China. Methods： Literatures about LSG for obesity in China were obtained from Wanfang Data,China Knowledge Resource Integrated Database and Pub Med with predetermined inclusive and exclusive criteria,then evaluated. Systematic review was based on data extracted from those literatures. Results： Four hundred and fifty-three cases of LSG were retrieved from 13 literatures. Anastomotic leakage,anastomotic stenosis,and esophageal reflux represented the most common complications of LSG in China. Total incidence of complications was 7. 95%（ 36 /453）,all-cause mortality was 0%（ 0 /453）. Conclusions： LSG is safe,easy to perform and associated with lower incidence of complications. LSG can be recommended as the best therapies for pathologic obesity in China.

关 键 词：袖状胃切除术 腹腔镜检查 手术后并发症 系统分析 

分 类 号：R656.61[医药卫生—外科学]