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限制性手术后的修复性手术:第三级中心的中期结果

Gautier Gelly¹, Hugo Meunier¹, Adrien Lee Bion¹

¹Department of Digestive Surgery, University Hospital of Caen, Avenue de la Côte de Nacre, 14033, Caen Cedex, France.

Surgical endoscopy

|August 2, 2023

概括

腹腔镜袖子胃切除术 (LSG) 后的修复性减肥手术 (RBS) 显示出更高的整体发病率,而腹腔镜调节性胃带纹 (LAGB) 后的RBS会导致更多的外科问题. 本研究比较了这些修订程序的结果.

科学领域:

腹部外科腹部外科
外科手术的结果
胃肠病学胃肠病学

背景情况:

修复性减肥手术 (RBS) 越来越多地进行,但存在独特的挑战.
有限的数据存在于RBS的比较结果在不同的初级减肥手术后.

研究的目的:

为了比较腹腔镜袖子胃切除术 (LSG) 后修复性减肥手术 (RBS) 的发病率和减肥结果,与腹腔镜可调胃带 (LAGB) 相比.

主要方法:

在2005年至2019年间对252名接受RBS治疗的患者进行了回顾性分析.
患者之前有LSG或LAGB,分析了2年的随访数据.
还进行了第三程序的子组分析.

主要成果:

总体发病率在LSG组 (37%) 与LAGB组 (25%) 相比较高 (p=0.045).
2年后的总体重减轻 (TWL) 在LAGB (25.5%±10.3%) 后的RBS后明显大于LSG (12.7%±16.4%) (p<0.001).
2年后的平均BMI在两组之间是相似的 (LSG: 33.1 kg/m2,LAGB: 32.5 kg/m2).

结论:

在LSG后的RBS与更高的整体发病率有关.
在LAGB之后的RBS似乎会导致更多的外科手术后并发症.
这些发现突出了基于主要程序的RBS不同风险概况.

关键词:

腹腔外科手术是什么意思肥胖问题肥胖问题解决并发症的解决方案修订性减肥手术是重复性的.总体减肥总体减肥总体减肥总体减肥

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