韩国肥胖患者腹腔镜下十二指肠空肠袢旁路术联合袖状胃切除术的初步经验
Initial Experience with Laparoscopic Loop Duodenojejunal Bypass with Sleeve Gastrectomy in Korean Obese Patients.
作者信息
Kim Sang Hyun, Hur Kyung Yul, Chung Yoona, Kim Yong Jin
机构信息
Department of Surgery, Soonchunhyang University Hospital Seoul, Soonchunhyang University School of Medicine, Seoul, Korea.
Department of Surgery, H plus Yangji Hospital, Seoul, Korea.
出版信息
J Minim Invasive Surg. 2020 Mar 15;23(1):52-56. doi: 10.7602/jmis.2020.23.1.52.
Laparoscopic loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG) has theoretical advantages compared with laparoscopic Roux-en-Y gastric bypass. We performed 7 cases of LDJB-SG from May 2019 to September 2019. All procedures were successfully completed by laparoscopy. The mean operative time was 282.9 (210335) minutes and the mean estimated blood loss was 82.9 (20150) ml. There was no intraoperative complications, however, there was 1 case of postoperative anastomotic leakage. The average length of postoperative hospital stay was 5.3 (312) days. The mean body weight at baseline was 117.1 (88.4151.1) kg, and was decreased to 90.4 (69.4130.9) kg at postoperative 3 month. The mean of HbA1c at baseline was 7.6 (5.59.4) %, and was decreased to 5.3 (4.8~5.6) % at postoperative 3 month. Although LDJB-SG is a technically demanding procedure, it can be a feasible and safe procedure if the learning curve can be overcame.
与腹腔镜Roux-en-Y胃旁路术相比，腹腔镜十二指肠空肠袢旁路术联合袖状胃切除术（LDJB-SG）具有理论优势。我们在2019年5月至2019年9月期间实施了7例LDJB-SG手术。所有手术均通过腹腔镜成功完成。平均手术时间为282.9（210335）分钟，平均估计失血量为82.9（20150）毫升。术中无并发症发生，但有1例术后吻合口漏。术后平均住院时间为5.3（312）天。基线时平均体重为117.1（88.4151.1）千克，术后3个月降至90.4（69.4130.9）千克。基线时HbA1c的平均值为7.6（5.59.4）%，术后3个月降至5.3（4.8~5.6）%。虽然LDJB-SG是一项技术要求较高的手术，但如果能克服学习曲线，它可以是一种可行且安全的手术。
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