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首次在人类中使用磁性解剖系统进行侧对侧磁性压缩双结肠术

Michel Gagner¹, David Abuladze², Levan Koiava²

¹Department of Surgery, Westmount Square Surgical Center, 1 Westmount Square, Suite 801, Westmount, QC, H3Z2P9, Canada. gagner.michel@cliniquemichelgagner.com.

Obesity surgery

|July 2, 2023

概括

一个新型磁性解剖系统 (MS) 在试点研究中安全地为严重肥胖症创建了双 - 叶转移,从而导致显著的体重减轻和2型糖尿病的解决.

科学领域:

腹腔外科的创新腹腔外科的创新
胃肠道手术胃肠道手术
医疗器械技术医疗器械技术

背景情况:

传统的消化肠道解,使用或紧固件,有高的出血和泄漏率.
需要新的技术来提高减肥和代谢手术的安全性和有效性.

研究的目的:

评估一种新型磁性解剖系统 (MS) 的可行性和安全性,用于创建侧向侧向双-骨 (DI) 转移.
评估这种MSDI转移在促进体重减轻和解决严重肥胖患者2型糖尿病 (T2D) 的有效性.

主要方法:

在5名患有严重肥胖症 (BMI ≥35 kg/m2) 的女性患者中,与袖子胃切除术 (SG) 一起进行了侧向侧向MS DI转移.
磁铁通过内镜和腹腔镜放置在十二指肠和大肠,创造一个渐进的解剖.
腹腔镜辅助确保了准确的测量,防止了组织插入,并关闭了中腔膜缺陷.

主要成果:

所有的磁铁都成功地被放置和驱逐出来,形成了持久的无并发症的瘤.
在12个月后,患者实现了显著的总体重减轻 (34.0 ± 1.4%),多余体重减轻 (80.2 ± 6.6%),BMI减轻 (15.1).
2型糖尿病消失,平均HbA1c从6.8 ± 0.8%降至4.8 ± 0.2%,葡萄糖水平降低了47.0 mg/dL.

结论:

在严重肥胖的成年人中,侧对侧磁性压缩解剖切除用于双 - 骨干切除转移是可行的和安全的.
这种技术有效地实现了大量的体重减轻,并在一年内解决了2型糖尿病.
多发性硬化系统在减肥外科手术中为传统的解剖解剖方法提供了一个有前途的替代方案.

关键词:

双胞胎 - 骨髓整形术.代谢/腹腔外科手术,磁性压缩解.肥胖问题肥胖问题袖子胃切除术是什么意思 2 型糖尿病 2 型糖尿病

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