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重复袖子胃切除术作为主要修订手术的安全性

Paul Wisniowski¹, Kamran Samakar¹, Vincent Cheng²

¹Division of Upper GI and General Surgery, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, California.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

|June 13, 2024

概括

重复腹腔镜袖胃切除术 (RSG) 与初始的LSG相比,显示出更高的并发症率和更长的手术时间. 虽然死亡率相似,但感染,泄漏和重新手术的风险增加需要进一步调查长期结果.

科学领域:

腹部外科腹部外科
外科手术的结果
胃肠道手术胃肠道手术

背景情况:

初级腹腔镜袖子胃切除术 (LSG) 后体重减轻不足可能需要修复性手术.
之前关于重制LSG (RSG) 安全性的研究已经产生了相互矛盾的结果.

研究的目的:

为了比较30天的安全结果,再做腹腔镜袖子胃切除术 (RSG) 与初始腹腔镜袖子胃切除术 (LSG).

主要方法:

对2020-2021代谢和腹部外科认证和质量改进计划 (MBSAQIP) 数据库的分析.
包括226,029名患者,其中1454人接受RSG和224,575人接受初始LSG.
使用单变量和多变量逻辑和线性回归来评估30天的结果.

主要成果:

RSG患者年龄较大,主要是女性,BMI较低,胃食道逆流率较高.
RSG与增加的整体并发症 (3.6%对2.1%) 和更长的手术时间 (81对62分钟) 相关.
多变量分析显示,RSG独立增加了术后并发症,器官空间感染,主干线泄漏,肺炎,败血症,重新手术,再入院和重新干预的风险.

结论:

与初级LSG相比,Redo LSG与术后并发症和延长手术时间的显著更高率有关.
尽管短期风险增加,但死亡率在两组之间是可比的.
进一步的研究对于了解重复LSG的长期影响和结果至关重要.

关键词:

腹腔外科手术是什么意思翻新袖子胃切除术是什么意思翻开的袖子翻开的袖子修订性减肥手术是重复性的.袖子胃切除术是什么意思

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