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首页> 外文期刊>Surgical Endoscopy >Transumbilical single-port sleeve gastrectomy: initial experience and comparative study.
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Transumbilical single-port sleeve gastrectomy: initial experience and comparative study.

机译：脐带单口袖胃切除术：初步经验和比较研究。

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Sleeve gastrectomy is gaining relevance in the surgical armamentarium against obesity. The transumbilical single port has proved to be an attractive and safe alternative for a variety of minimally invasive abdominal surgeries. The purpose of this study is to evaluate the initial results of a group of patients operated by single-port sleeve gastrectomy compared with a group operated by conventional laparoscopic technique.We present a prospective cohort study of two groups of consecutive patients with body mass index (BMI) between 35 and 55 kg/m(2), with an indication of sleeve gastrectomy. In 20 patients, we used a transumbilical single-port (TUSP) technique; in 22 patients, we used the conventional laparoscopic (CL) technique. All surgeries were performed between June and December 2009 in the Gastrointestinal Surgery Department of Hospital Clínic, Barcelona. The same medical team, in a standardized fashion, carried out all surgeries.There were no differences between groups in body mass index (BMI), age, sex, number and type of comorbidities, or history of previous abdominal surgery. Operative time (79.2 min) was significantly higher in the TUSP group (p = 0.002) than in the CL group (54.1 min). There were no conversions to open surgery in any of the patients operated upon via CL, but one conversion to laparoscopic surgery, requiring the addition of three trocars, in the TUSP group. There were no significant differences in morbidity or hospital stay between the groups. Percentage excess weight loss and excess BMI loss at 3 and 6 months, as indexes for improvement and resolution of comorbidities associated with obesity, showed that there were no significant differences between the groups.Transumbilical single-port sleeve gastrectomy has proved to be safe, technically feasible, and reproducible, with results that are similar to those obtained with conventional laparoscopic surgery.
机译：袖胃切除术在对抗肥胖的手术设备中越来越重要。经脐带单端口已被证明是各种微创腹部手术的一种有吸引力且安全的替代方法。本研究的目的是评估与传统腹腔镜技术相比，单口袖套胃切除术的一组患者的初步结果。我们对两组连续的体重指数（体重指数（BMI）在35至55 kg / m（2）之间，有袖胃切除术的指征。在20例患者中，我们使用了脐带单端口（TUSP）技术;在22例患者中，我们使用了常规的腹腔镜（CL）技术。所有手术均于2009年6月至12月在巴塞罗那克利尼奇医院的胃肠外科进行。相同的医疗团队以标准化的方式进行了所有手术，各组之间的体重指数（BMI），年龄，性别，合并症的数量和类型或以前的腹部手术史没有差异。 TUSP组的手术时间（79.2分钟）显着高于CL组（54.1分钟）（p = 0.002）。在TUSP组中，没有任何通过CL手术的患者转换为开腹手术，而是一次转换为腹腔镜手术，需要加三支套管针。两组之间的发病率或住院时间无显着差异。作为改善和解决与肥胖相关的合并症的指标，在​​3个月和6个月时体重减轻和BMI过量减少的百分比表明，两组之间无显着差异。经脐静脉单口袖式胃切除术在技术上已被证明是安全的可行且可重现，其结果与常规腹腔镜手术所获得的结果相似。

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