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首页> 外文期刊>Surgical Endoscopy >Disappointing results with a 5 cm calibrating device for laparoscopic vertical banded gastroplasty.
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Disappointing results with a 5 cm calibrating device for laparoscopic vertical banded gastroplasty.

机译：用于腹腔镜垂直条带化胃成形术的5 cm校准装置令人失望的结果。

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BACKGROUND: The gastric outlet represents a critical point of laparoscopic vertical banded gastroplasty (LVBG): the diameter and the material used to calibrate the gastric outlet are essential for long-term success. We present the results of our initial clinical experience with the Proring band, a new calibrating device specifically designed to calibrate LVBG outlet. METHODS: Between February and April 2004, 13 LVBG were performed using the Proring band. There were 12 women and one man; their mean age was 44 years; mean preoperative weight was 118.8 kg; mean body mass index (BMI) was 44.4 kg/m(2). RESULTS: The immediate postoperative course was uneventful in all cases. In the follow-up 10 patients out of 13 (76.9%) presented a sudden or progressive food intolerance. Five patients were immediately reoperated by laparoscopic approach and five underwent endoscopic dilatation with initial clinical improvement; early recurrence of symptoms despite further dilatations occurred in four out of five cases. These four patients were then reoperated. Therefore a total of nine (69.2%) patients underwent a laparoscopic reoperation with Proring band removal and its replacement with a polypropylene band. In seven cases an intraoperative endoscopic dilatation was associated with the laparoscopic procedure. Outcome was successful in all cases, with discharge after two days. CONCLUSION: The results of our experience using the Proring band are unsatisfactory, showing 76.9% with outlet stenosis and 69.2% with reoperations. These data compare negatively with our previous experience on more than 900 VBG procedures using polypropylene mesh.
机译：背景：胃出口代表腹腔镜垂直条带化胃成形术（LVBG）的关键点：直径和用于校准胃出口的材料对于长期成功至关重要。我们将介绍Proring乐队的初步临床经验结果，Proring乐队是专门设计用于校准LVBG出口的新型校准设备。方法：2004年2月至2004年4月，使用Proring频段进行了13次LVBG。有十二名妇女和一名男子;他们的平均年龄为44岁;术前平均体重为118.8千克;平均体重指数（BMI）为44.4 kg / m（2）。结果：所有病例的术后即刻病程均无异常。在随访中，13名患者中有10名（76.9％）出现了突然或进行性食物不耐症。 5例患者立即通过腹腔镜手术再次手术，另外5例接受了内镜下扩张术，初步临床改善。尽管有进一步的扩张，但症状的早期复发仍占五分之四。然后重新手术这四名患者。因此，总共有九名（69.2％）患者接受了腹腔镜再次手术，并去除了Proring带并用聚丙烯带代替。在七个病例中，术中内窥镜扩张与腹腔镜手术有关。在所有情况下结果均成功，两天后出院。结论：我们使用Proring束带的经验结果并不令人满意，显示出出口狭窄的占76.9％，再次手术占69.2％。这些数据与我们以前在使用聚丙烯网孔进行的900多种VBG程序中的经验进行了比较。

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