Association between operative position and postoperative nausea and vomiting in patients undergoing laparoscopic sleeve gastrectomy  

作　　者：Zhao-Peng Li Yan-Cheng Song Ya-Li Li Dong Guo Dong Chen Yu Li 

机构地区：[1]Department of Gastrointestinal Surgery,The Affiliated Hospital of Qingdao University,Qingdao 266033,Shandong Province,China [2]Department of Operation Room,The Affiliated Hospital of Qingdao University,Qingdao 266033,Shandong Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第7期2088-2095,共8页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Bariatric surgery is one of the most effective ways to treat morbid obesity,and postoperative nausea and vomiting(PONV)is one of the common complications after bariatric surgery.At present,the mechanism of the high incidence of PONV after weight-loss surgery has not been clearly explained,and this study aims to investigate the effect of surgical position on PONV in patients undergoing bariatric surgery.AIM To explore the effect of the operative position during bariatric surgery on PONV.METHODS Data from obese patients,who underwent laparoscopic sleeve gastrectomy(LSG)in the authors’hospital between June 2020 and February 2022 were divided into 2 groups and retrospectively analyzed.Multivariable logistic regression analysis and the t-test were used to study the influence of operative position on PONV.RESULTS There were 15 cases of PONV in the supine split-leg group(incidence rate,50%)and 11 in the supine group(incidence rate,36.7%)(P=0.297).The mean operative duration in the supine split-leg group was 168.23±46.24 minutes and 140.60±32.256 minutes in the supine group(P<0.05).Multivariate analysis revealed that operative position was not an independent risk factor for PONV(odds ratio=1.192,95%confidence interval:0.376-3.778,P=0.766).CONCLUSION Operative position during LSG may affect PONV;however,the difference in the incidence of PONV was not statistically significant.Operative position should be carefully considered for obese patients before surgery.

关 键 词：Postoperative nausea and vomiting Bariatric surgery Laparoscopic sleeve gastrectomy Operative positions OBESITY 

分 类 号：R656.61[医药卫生—外科学]