中国实用外科杂志2024，Vol.44Issue(8)：906-910,5.DOI:10.19538/j.cjps.issn1005-2208.2024.08.14
单孔腹腔镜胃袖状切除术265例临床分析
A retrospective analysis of 265 cases of single incision laparoscopic sleeve gastrectomy
摘要
Abstract
Objective To explore the safety and efficacy of SPSG in patients with high BMI by analyzing the preliminary experience and results of single port laparoscopic sleeve gastrectomy(SPSG)in single center.Methods Clinical data of 265 patients with SPSG at Huadong Hospital Affiliated to Fudan University from February 2023 to June 2024 was retrospectively analyzed.They were divided into BMI≥50 group(n=21),50＞BMI ≥40 BMI group(n=63)and BMI＜40 group(n=181).Clinical data such as operation time,length of stay,incidence of complications,weight loss effect and remission rate of comorbidities were compared and analyzed between the three groups.Results All patients in the three groups received the operation successfully and were discharged without conversion to laparotomy.The mean operation time in BMI≥50 group was(118.48±33.25)min,which was longer than(86.24±22.35)min in 40≤BMI＜50 group and(70.22±16.86)min in BMI＜40 group(P＜0.05).The hospitalization time of BMI≥50 group was(9.67±4.23)d,which was significantly longer than that of the other two groups(6.05±2.85)d and(5.25±1.93)d,respectively,and the difference was statistically significant(P＜0.05).In BMI≥50 group,the additional operation hole rate,placement drainage rate,surgical blood loss,preoperative hospital stay and postoperative hospital stay were higher than those in 40≤BMI＜50 group and BMI＜40 group,with statistical significance(P＜0.05).There were no significant differences in postoperative complication rate,percentage of excess weight loss,percentage of total weight loss and remission rate of metabolic comorbidities in BMI≥50 group compared with 40≤BMI＜50 group and BMI＜40 group(P＞0.05).Conclusion High BMI is not an absolute contraindication of SPSG.Adequate preoperative evaluation,preparation and appropriate intraoperative treatment are of great significance for the successful completion of SPSG.关键词
腹腔镜/胃袖状切除术/单孔/疗效/并发症Key words
laparoscopy/sleeve gastrectomy/single port/therapeutic effect/complication分类
医药卫生引用本文复制引用
杨建军,董文培,Jason Wadjaja,顾岩..单孔腹腔镜胃袖状切除术265例临床分析[J].中国实用外科杂志,2024,44(8):906-910,5.基金项目
上海市2022年度"科技创新行动计划"医学创新研究专项(No.22Y11904500) （No.22Y11904500）
