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首页> 外文会议>World Congress of the International College of Surgeons >Mini Open Roux-En-Y Gastric Bypass: Surgical Complications and Difficulties
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Mini Open Roux-En-Y Gastric Bypass: Surgical Complications and Difficulties

机译：迷你开放式roux-en-y胃旁路：手术并发症和困难

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Background: Mini-open Roux-en-Y gastric bypass is a safe and cost-effective alternative to the open and laparoscopic bariatric surgical procedures. Methods: Roux-en-Y gastric bypass was performed through the mini-laparotomy approach in 500 consecutive patients. Average BMI was 48.1 kg/m~2, average operative time was 68.8 min, length of the upper midline incision 7-8 cm, hospital stay 2-3 days. Results: There were early (2.6%) and late postoperative surgical complications(4.4%) and difficulties of performing gastric bypass on morbidly obese patients. There were no postoperative anastomotic leaks. Mortality - one patient (0.2%) with pulmonary embolism. Conclusion: Surgical risk and complications can be reduced with careful attention to the technical details, training and experience. Surgical treatment of morbid obesity is becoming an accepted and established modality. The long term control of severe obesity is best achieved with bariatric surgical procedures. There are many different operations, open and laparoscopic, currently being developed based on creating restriction and/or malabsorption of food and thereby inducing weight loss (1). Roux-en-Y gastric bypass (RYGB) considered as a "golden standard" for the surgical treatment of morbid obesity. The type and frequency of complication's after RYGB are described in literature (2, 3).
机译：背景：迷你开放的Roux-Zh-Y胃旁路是开放和腹腔镜肥胖症手术手术的安全且经济高效的替代品。方法：通过连续500名患者的迷你剖腹手术方法进行ROUX-ZH-Y胃旁路。平均BMI为48.1千克/ m〜2，平均手术时间为68.8分钟，上线切口长度为7-8厘米，住院2-3天。结果：早期（2.6％）和晚期术后手术并发症（4.4％）和在病态肥胖患者中表演胃旁路的困难。没有术后吻合症状泄漏。死亡率 - 患有肺栓塞的患者（0.2％）。结论：仔细注意技术细节，培训和经验，可以减少手术风险和并发症。病态肥胖的外科治疗正在成为一个接受和建立的方式。通过肥胖的外科手术，最好地实现了对严重肥胖的长期控制。目前正在基于创造食物的限制和/或吸收性，从而产生许多不同的操作，开放和腹腔镜，从而诱导体重减轻（1）。 Roux-Zh-Y胃旁路（RYGB）被认为是“黄金标准”，用于病态肥胖的外科治疗。 RYGB后并发症的类型和频率在文献（2,3）中描述。

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