腹腔镜袖状胃切除术治疗病态肥胖症：5年随访结果
Laparoscopic sleeve gastrectomy for morbid obesity: 5-year results.
作者信息
Alexandrou Andreas, Athanasiou Antonios, Michalinos Adamantios, Felekouras Evangelos, Tsigris Christos, Diamantis Theodoros
机构信息
1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece.
1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece.
出版信息
Am J Surg. 2015 Feb;209(2):230-4. doi: 10.1016/j.amjsurg.2014.04.006. Epub 2014 Jun 20.
BACKGROUND
Data concerning the long-term efficacy of laparoscopic sleeve gastrectomy in the treatment of morbid obesity remain scarce. In this retrospective, the authors present 5-year follow-up of 30 patients having undergone laparoscopic sleeve gastrectomy.
METHODS
Since 2004, 30 patients underwent laparoscopic sleeve gastrectomy and completed 5 years of follow-up. Five patients were subsequently subjected to laparoscopic Roux-en-Y gastric bypass and were excluded from further analysis. The remaining 25 patients comprised the study population.
RESULTS
Mean excess weight loss was 65.2 ± 6.1%, 64.7 ± 5.6%, 62 ± 4.9%, 58.2 ± 5.5%, and 56.4 ± 5.8% for the first 5 years, respectively. There were no deaths, nor any major morbidity. Remission of comorbidities was observed in 40% to 80.9% of cases.
CONCLUSIONS
Laparoscopic sleeve gastrectomy is a safe and effective means of treatment of morbid obesity both in the short and in the long term. More research is needed to better predict which patient will benefit most from this operation.
背景
关于腹腔镜袖状胃切除术治疗病态肥胖症的长期疗效的数据仍然匮乏。在这项回顾性研究中，作者展示了30例行腹腔镜袖状胃切除术患者的5年随访情况。
方法
自2004年以来，30例患者接受了腹腔镜袖状胃切除术并完成了5年随访。其中5例患者随后接受了腹腔镜Roux-en-Y胃旁路术，被排除在进一步分析之外。其余25例患者构成研究人群。
结果
前5年的平均超重减轻分别为65.2±6.1%、64.7±5.6%、62±4.9%、58.2±5.5%和56.4±5.8%。无死亡病例，也无任何严重并发症。40%至80.9%的病例共病得到缓解。
结论
腹腔镜袖状胃切除术无论在短期还是长期都是治疗病态肥胖症的一种安全有效的方法。需要更多研究以更好地预测哪些患者将从该手术中获益最多。
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