中国实用外科杂志2024，Vol.44Issue(8)：900-905,6.DOI:10.19538/j.cjps.issn1005-2208.2024.08.13
上海市减重代谢手术质量控制2012-2023年数据分析
Quality control analysis of bariatric and metabolic surgery in Shanghai:Data from 2012 to 2023
摘要
Abstract
Objective Based on the quality control database for bariatric and metabolic surgery in Shanghai,this study analyzes the trends and advancements in bariatric and metabolic surgeries in Shanghai from 2012 to 2023.Methods A retrospective analysis of data on bariatric and metabolic surgeries conducted in Shanghai from 2012 to 2023 was performed.The data were analyzed by demographic characteristics,types of bariatric & metabolic surgeries,and perioperative variables to reflect the development trends of these surgeries over the past 12 years.Results From 2012 to 2023,a total of 9282 bariatric and metabolic surgeries were performed in Shanghai.The number of surgeries per year increased from 100 in 2012 to 1430 in 2023.The overall demographic characteristics of this database during the 12 years are as follows:the female-to-male patient ratio was 2.16:1.The baseline average BMI was 38.7±7.3.Preoperative comorbidity of type 2 diabetes was present in 32.4％of patients.Postoperative severe complications occurred in 0.4％of cases,and the reoperation rate within 30 days was 0.2％.Most patients(66.5％)were from Shanghai.Since 2014,sleeve gastrectomy(SG)has been the predominant surgical method,with a total of 8162 SG procedures,representing 87.5％of the cases.Roux-en-Y gastric bypass(RYGB)accounted for 7.7％(717 cases),and exploratory surgeries comprised 3.7％(348 cases).Between 2019 and 2023,55 corrective surgeries were recorded,primarily among patients who had undergone SG.The most common corrective procedure was r-SADI-S(32.7％),followed by r-OAGB(21.8％)and r-RYGB(18.2％).There were 26 cases of severe postoperative complications,accounting for 0.4％.Conclusion Over the past twelve years,the number of bariatric and metabolic surgeries in Shanghai has steadily increased.Since 2014,SG has become the primary surgical method,with RYGB remaining the second most common procedure.Since 2021,SADI-S and OAGB have been the main corrective surgical options in Shanghai.With effective quality control management,the incidence of perioperative complications remains very low.关键词
减重代谢手术/上海/胃袖状切除术/Roux-en-Y胃旁路术/质量控制Key words
bariatric and metabolic surgery/Shanghai/sleeve gastrectomy/Roux-en-Y gastric bypass/quality control分类
医药卫生引用本文复制引用
上海市普通外科临床质量控制中心减重及代谢外科专家组,上海市医师协会外科医师分会减重代谢外科工作组,楼文晖,张频..上海市减重代谢手术质量控制2012-2023年数据分析[J].中国实用外科杂志,2024,44(8):900-905,6.基金项目
上海市专项课题项目(No.ZHYY-ZXYJHZX-2-201711) （No.ZHYY-ZXYJHZX-2-201711）
