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首页> 外文期刊>Bariatric Surgical Patient Care >Initial experience performing laparoscopic sleeve gastrectomy in community hospital: Outcome of first 250 cases
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Initial experience performing laparoscopic sleeve gastrectomy in community hospital: Outcome of first 250 cases

机译：在社区医院进行腹腔镜套管胃切除术的初步经验：前250例结果

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Introduction: This study aimed to review the mid-term results of laparoscopic sleeve gastrectomy (LSG) as a single one-stage operation for morbid obesity.Methods: We performed a retrospective analysis of prospectively collected data from November 2008 to August 2013. A total of 267 patients underwent LSG by a single surgeon at a single teaching institution. Data collected and analyzed included patient demographics, operative time, operative technique, length of stay, complications, learning curve, preoperative body mass index (BMI), and weight loss at 6 months, and 1, 2, 3, and 4 years.Results: The mean preoperative BMI was 47.6 kg/m2and the mean age was 42.9 years. Mean operative time (100.3 minutes) significantly improved with increased experience. Patients with at least 6 months' follow-up were included to calculate weight loss (mean follow-up rate 46%). The mean BMI decreased to 36.2, 33.3, 33.3, 37.6, and 35.9kg/m2at 6 months, and 1, 2, 3, and 4 years respectively. Mean percentage excess weight loss (%EWL) was 54.3, 67.2, 58, 54.3, and 61 at 6 months, and 1, 2, 3, and 4 years respectively. We had three major complications (1.1%) and four minor complications (1.4%).Conclusion: LSG is a safe and effective procedure for achieving and maintaining acceptable weight loss for up to 4 years.
机译：简介：本研究旨在回顾腹腔镜袖式胃切除术（LSG）作为病态肥胖的单阶段手术的中期结果。方法：我们对2008年11月至2013年8月的预期数据进行了回顾性分析。 267名患者中，由一名外科医生在一家教学机构中接受了LSG检查。收集和分析的数据包括患者的人口统计学，手术时间，手术技术，住院时间，并发症，学习曲线，术前体重指数（BMI）和6个月，1、2、3和4岁时的体重减轻。 ：术前平均BMI为47.6 kg / m2，平均年龄为42.9岁。随着经验的增加，平均手术时间（100.3分钟）显着改善。包括至少随访6个月的患者以计算体重减轻（平均随访率46％）。在6个月，1、2、3和4年时，平均BMI分别降至36.2、33.3、33.3、37.6和35.9kg / m2。在6个月，1、2、3和4年时，平均体重减轻百分比（％EWL）分别为54.3、67.2、58、54.3和61。我们有3个主要并发症（1.1％）和4个次要并发症（1.4％）。结论：LSG是一种安全有效的程序，可实现并维持可接受的减肥长达4年。

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