Operative technique and efficacy of three-incision laparoscopic single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy
10.3760/cma.j.cn113855-20240424-00300
- VernacularTitle:三孔腹腔镜袖状胃切除术联合单吻合口十二指肠-空肠旁路术操作技巧及疗效
- Author:
Chenxu TIAN
1
;
Qing SANG
;
Dexiao DU
;
Guangzhong XU
;
Liang WANG
;
Zhehong LI
;
Weijian CHEN
;
Nengwei ZHANG
Author Information
1. 首都医科大学附属北京世纪坛医院肥胖与代谢病中心，北京 100038
- Keywords:
Obesity;
Suturing technique;
Gastrectomy;
Diabetes mellitus ,type 2
- From:
Chinese Journal of General Surgery
2024;39(6):465-469
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To present the surgical details of manual double-layer suturing in patients with obesity combined type 2 diabetes mellitus by three-incision laparoscopic single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy .Methods:Clinical data and follow-up information of 52 obesity combined type 2 diabetes mellitus patients (BMI 27.59-43.71 kg/m2) who underwent three-incision laparoscopic single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy from Jan 2019 to Jul 2022 at Beijing Shijitan hospital were retrospectively analyzed.Results:The procedure was successful in all patients. The median operative time was 120 (90, 120) min, and the median intraoperative bleeding was 20.0 (10.0, 27.5) ml. No fistula or serious surgical complications were observed in the patients at 1 month postoperatively. Compared with the preoperative period, the patient's weight decreased [(93.22±15.21) kg vs. (69.97±11.06) kg, t=21.707, P<0.01], BMI decreased [(33.11±4.09) kg/m 2vs. (24.86±2.95) kg/m 2, t=23.224, P<0.01], and the patient's fasting glucose level decreased [9.52 (7.57, 12.96) mmol/L vs. 5.47 (4.66, 6.39) mmol/L, Z=6.11, P<0.01]. The remission rate of various obesity comorbidities was greatly improved. Conclusion:Under the condition of three-incision laparoscopy, the pure manual duodenal and jejunal double-layer suture method is safe, feasible, and effective for patients with obesity combined with type 2 diabetes mellitus.
