Effect analysis of two-incision laparoscopic sleeve gastrectomy for the treatment of simple obesity
10.3760/cma.j.issn.1673-4203.2017.12.006
- VernacularTitle:两切口法腹腔镜袖状胃切除术治疗单纯性肥胖效果分析
- Author:
Shibo LIN
1
;
Wei GUAN
;
Hui LIANG
Author Information
1. 南京医科大学第一附属医院普外科
- Keywords:
Gastrectomy;
Obesity;
Postoperative complications;
Two-incision
- From:
International Journal of Surgery
2017;44(12):812-815,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience and application value of two-incision laparoscopic sleeve gastrectomy for the treatment of simple obesity.Methods From January 2016 to February 2017,the clinical data and follow-up results of 11 patients with simple obesity who underwent twoincision laparoscopic sleeve gastrectomy in the First Affiliated Hospital of Nanjing Medical University were retrospectively analyzed.Data were expressed by mean standard deviation.The learning curve was analyzed based on the cumulative sum method.At the 1st,3rd,6th,9th and 12th months after surgery,the postoperative complications,weight loss and satisfaction of abdominal cosmetic effect were also collected and analyzed through the follow-up of outpatient service or telephone.Results All the patients were successfully completed the two-incision laparoscopic sleeve gastrectomy,with the mean operation time of (83.2 ± 10.7) minutes,mean intraoperative blood loss of (15.3 ± 8.2) ml and mean postoperative hospital stay of (3.8 ± 1.3) days.Learning curve analysis indicated that the expierenced bariatric surgeon could master the two-incision laparoscopic sleeve gastrectomy after five cases of practice.During the follow-up ranged from 1 to 12 months through outpatient and telephone,none of the patients was sufferred from the postoperative complications including leakage of the gastric sleeve,abdominal abscess,incision infection,incision liquefaction,delayed wound healing and umbilical hernia.The excess weight loss was (26.3 ± 3.2) ％,(47.4±5.3)％,(65.7±7.3)％,(70.5±7.9)％ and (80.2±10.7)％ at the 1st,3rd,6th,9th and 12th months follow-up after surgery.All the patients were satisfied with cosmetic outcomes of the reduced abdominal trocar incisions.Conclusions Two-incision laparoscopic sleeve gastrectomy is safe and effecive.Moreover,it is asscosicated with convinient operational management,short learning curve,and increased abdominal cosmetic effect compared with conventional five-incision laparoscopic sleeve gastrectomy.
