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用袖子胃切除术进行循环双关节绕道术后的重新手术:一个9年的经验
Chih-Kun Huang1, Ming-Che Hsin1, Anand Patel2
1Department of Body Science and Metabolic Disorders International Medical Center, China Medical University Hospital, Yude Rd., North Dist, Taichung, Taiwan.
Obesity surgery
|June 13, 2024
概括
用袖子胃切除术 (LDJBSG) 进行循环双胞胎关旁路,其重复手术率低,为3%. 转换为Roux-en-Y胃绕道 (RYGB) 有效地治疗并发症,但需要经验丰富的手术团队.
科学领域:
- 腹部外科 腹部外科
- 代谢手术 代谢手术
- 胃肠道手术 胃肠道手术
背景情况:
- 用袖子胃切除术 (LDJBSG) 进行循环双关节旁路术是一种有效的减肥手术,用于减肥和管理与肥胖相关的并发症.
- 有限的数据存在于LDJBSG后所需的重复手术.
研究的目的:
- 分析LDJBSG之后的手术并发症和重新手术率.
- 描述LDJBSG并发症的转换和修订程序.
主要方法:
- 在2011年至2019年期间接受LDJBSG的337名患者的回顾性分析.
- 对复手手术 (转换或修复) 的评估,用于早期和晚期并发症.
主要成果:
- 在3% (10/337) 的患者中,需要重复手术.
- 常见的转换程序包括Roux-en-Y胃绕道 (RYGB).
- 转化后的4名患者出现了术后并发症,包括多器官衰竭和边缘.
结论:
- LDJBSG显示了较低的重新操作率.
- 转换为RYGB是LDJBSG并发症的有效治疗方法.
- 转换手术需要技术专业知识,并且由于潜在的外科风险,应由经验丰富的减肥手术团队进行.
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