对于移植患者的袖子胃切除术的时间考虑:单一中心评估
Mario Spaggiari1, Alessandro Martinino1, Giulia Bencini1
1Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL, United States.
概括
结合移植和袖子胃切除术,可以在不影响移植存活的情况下成功减肥. 接受综合手术的患者更有可能选择减肥手术.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 腹部外科 腹部外科
- 移植手术 移植手术
背景情况:
- 肥胖是接受脏移植患者的一个重大问题.
- 与脏移植相比,减肥手术的最佳时间尚未确定.
- 袖子胃切除术 (SG) 是一种常见的减肥手术.
研究的目的:
- 为了评估结合移植 (KT) 和SG的结果.
- 为了比较同步与分阶段的SG和KT.
- 评估不同时间场景的减肥手术接受度.
主要方法:
- 移植接受者与BMI>35公斤/m2.2的回顾性评估.
- 分析同时,移植前和移植后的SG.
- 评估移植和患者的生存率,以及BMI的降低.
主要成果:
- 结合KT和SG实现了成功的体重减轻,与分阶段SG相美.
- 在组合和分阶段手术中,移植和患者的存活率相似.
- 移植前的SG显著降低了KT时的BMI.
- 提供联合SG的患者更有可能接受手术.
结论:
- 同时或分阶段的袖子胃切除术在移植接受者中是有效的.
- 组合手术维持了移植和患者的生存率.
- 与KT同时提供减肥手术可以增加吸收率.
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