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对再接收率和结果的比较分析:使用国家数据库进行Nissen fundoplication和没有Nissen fundoplication的袖子胃切除术
Ahmed M Afifi1, Daniyal Qadir1, Gang Ren1
1Department of Surgery, University of Toledo Medical Center, Toledo, Ohio, USA.
Clinical obesity
|September 23, 2024
概括
在肥胖和GERD的腹腔镜袖子胃切除术 (LSG) 中添加尼森基金复制 (NF) 并没有增加再入院率. 这两种手术都显示出低并发症率,证实了它们的安全性.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- laparoscopic 袖子胃切除术 (LSG) 是一种普遍存在的减肥手术.
- 胃食道逆流性疾病 (GERD) 是接受LSG的肥胖患者常见的并发症.
- 添加尼森基复合 (NF) 添加到GERD的LSG需要安全性和有效性评估.
研究的目的:
- 评估LSG与NF相结合的安全性和并发症率与单独的LSG.
- 评估NF添加对肥胖和GERD患者结局的影响.
主要方法:
- 使用全国再接收数据库 (2016-2019) 进行的回顾性队列研究.
- 对236,111名接受LSG的患者的分析,与1096名没有NF的和548名NF的匹配队列相匹配.
- 30天再入院率,并发症率,住院时间和总费用的比较.
主要成果:
- 在肥胖和GERD患者中,与NF的LSG和单独的LSG之间的30天再入院率没有统计学上显著的差异.
- 与NF组的LSG中,住院时间和总费用的中位数较高.
- 这两种手术的整体并发症率都很低.
结论:
- 与NF一起的LSG是肥胖和GERD患者的安全程序.
- 将NF添加到LSG中似乎不会增加短期再接收风险.
- 单独使用的LSG和使用NF的LSG都显示出良好的安全性.
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