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中华肥胖与代谢病电子杂志

中华肥胖与代谢病电子杂志 ›› 2015, Vol. 01 ›› Issue (01) : 21 -25. doi: 10.3877/cma.j.issn.2095-9605.2015.01.006

临床研究

袖状胃切除术作为胃束带术失败后修正手术的临床研究
董光龙1,†(), 刘兢文1, 菅雁兵1, 郭玉霖1, 徐晓1, 杜锦2, 冯杰3, 薛长勇4, 季刚5   
  1. 1.100853 北京，解放军总医院普通外科
    2.100853 北京，解放军总医院内分泌科
    3.100853 北京，解放军总医院心理科
    4.100853 北京，解放军总医院临床营养科
    5.710032 西安，第四军医大学西京医院胃肠外科
  • 收稿日期:2015-02-26 出版日期:2015-05-30
  • 通信作者: 董光龙
  • 基金资助:
    首都临床特色应用研究与成果推广基金（Z151100004015209）

Laparoscopic sleeve gastrectomy as a revisional surgery for failed gastric banding: reports of 14 patients

Guanglong Dong1,†(), Jingwen Liu1, Yanbing Jian1, Yulin Guo1, Xiao Xu1, Jin Du2, Jie Feng3, Changyong Xue4, Gang Ji5   

  1. 1.Department of General Surgery, General Hospital of PLA, Beijing 100853, China
    2.Department of Endocrinology, General Hospital of PLA, Beijing 100853, China
    3.Department of psychology, General Hospital of PLA, Beijing 100853, China
    4.Department of Clinical Nutrition, General Hospital of PLA, Beijing 100853, China
    5.Department of Gastrointestinal Surgery, the Fourth Military Medical University, Xian 710032, China
  • Received:2015-02-26 Published:2015-05-30
  • Corresponding author: Guanglong Dong
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引用本文：

董光龙, 刘兢文, 菅雁兵, 郭玉霖, 徐晓, 杜锦, 冯杰, 薛长勇, 季刚. 袖状胃切除术作为胃束带术失败后修正手术的临床研究[J/OL]. 中华肥胖与代谢病电子杂志, 2015, 01(01): 21-25.

Guanglong Dong, Jingwen Liu, Yanbing Jian, Yulin Guo, Xiao Xu, Jin Du, Jie Feng, Changyong Xue, Gang Ji. Laparoscopic sleeve gastrectomy as a revisional surgery for failed gastric banding: reports of 14 patients[J/OL]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2015, 01(01): 21-25.

目的

探讨腹腔镜袖状胃切除术作为胃束带术失败后修正手术的疗效和安全性。

方法

回顾性分析2011年6月至2013年6月在解放军总医院普通外科接受腹腔镜袖状胃切除术作为胃束带术失败后修正手术的14例患者的临床资料，包括手术时间、住院时间、人体质量指数（body mass index，BMI）减少量、多余体重减少百分比（percentage of excess weight loss%，EWL%）及术后并发症情况。

结果

14例患者均成功完成手术，无一例中转开放。手术时间（128±15）min；普外科住院时间（9±3）d；术后3个月（n=14）、6个月（n=12）、12个月（n=10）、18个月（n=8）以及24个月（n=5）患者的平均BMI减少了（4.0±1.4）kg/m2、（6.8±2.1）kg/m2、（9.4±3.4）kg/m2、（11.0±3.4）kg/m2、（12.1±4.6）kg/m2。术后仅1例患者出现切口感染，无其它并发症出现。

结论

腹腔镜袖状胃切除术做为胃束带术失败后的修正手术是一种对胃束带术失败的患者创伤较小、手术并发症较少、减重疗效较好的理想修正术式。

关键词: 腹腔镜袖状胃切除术, 胃束带术, 修正手术

Objective

To analyse the effectiveness and safty of laparoscopic sleeve gastrectomy (LSG)as a revision procedure after failed gastric banding.

Methods

Clinical data of 14 patients from General Hospital of PLA who had underwent LSG as a revision procedure after failed gastric banding between June 2011 and June 2013 were analysed, including operative time, hospitalization, reduction of body mass index(BMI), percentage of excess weight loss (EWL%) and postoperative complications.

Results

Fourteen procedures were preformed successfully without conversion to open surgery. The mean operative time was(128±15) minutes, the mean hospitalization in General Surgery was (9±3) days, the reduction of BMI in 3 mouths (n=14), 6 mouths (n=12), 12 mouths (n=10), 18 mouths (n=8) and 24 mouths (n=5) after procedures was (4.0±1.4) kg/m2、(6.8±2.1) kg/m2、(9.4±3.4) kg/m2、(11.0±3.4) kg/m2 and（12.1±4.6） kg/m2 respectively. No more operative complications happened except 1 case of infection.

Conclusions

LSG is an ideal bariatric procedure with less injury, fewer postoperative complications and better effectiveness of weight loss as a revision procedure for failed LAGB.

Key words: Laparoscopic sleeve gastrectomy, Gastric banding, Revision procedure
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