在腹腔中以肥胖为重点的预康复策略:队列研究
Víctor Rodrigues-Gonçalves1, Mireia Verdaguer-Tremolosa2, Pilar Martínez-López2
1General Surgery Department, Abdominal Wall Surgery Unit, Hospital Universitari Vall d´Hebron, Universitat Autònoma de Barcelona, Paseo Vall d`Hebron 119-129, 08035, Barcelona, Spain. 1538796@uab.cat.
概括
在肥胖患者的腹腔修复手术前减肥策略的有效性各不相同. 减肥手术产生了最显著的体重减轻和改善了手术资格,尽管并发症仍然存在.
科学领域:
- 手术瘤学手术瘤学
- 减肥医学 减肥医学
- 椎间板手术 手术 椎间板手术
背景情况:
- 肥胖使腹腔修复复复杂化,增加风险和技术挑战.
- 建议进行手术前减肥,但其实施策略尚不清楚.
- 需要在修复之前为体重管理提供结构化的途径.
研究的目的:
- 分析饮食咨询,药物治疗和减肥手术在肥胖腹患者的结构化途径中的使用.
- 评估减肥,手术资格和不同干预措施的遵守情况.
- 为了比较肥胖和非肥胖患者之间的手术结果.
主要方法:
- 肥胖腹腔患者的回顾性单中心研究 (2018年4月-2023年4月).
- 评估饮食咨询,药物治疗和减肥手术的实施和结果.
- 在肥胖 (有/没有减肥) 和非肥胖群体中对手术结果的描述性分析.
主要成果:
- 腹部外科手术 (6.8%) 导致中位数体重减轻 (20.7%) 和资格 (83%) 最高.
- 饮食咨询 (84.6%) 导致4.6%的体重减轻和44%的资格.
- 肥胖患者的术后并发症比非肥胖患者更多;在没有手术前减肥的情况下,复发率更高.
结论:
- 一个结构化的途径有效地整合了肥胖患者的各种减肥策略.
- 腹部外科手术最大限度地减轻体重和进行手术的候选人.
- 尽管进行了干预,但肥胖患者的并发症凸显了多学科预康复的必要性.
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