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首页> 外文期刊>Surgical Endoscopy >Laparoscopic gastric bypass in the treatment of morbid obesity. Preliminary results of a new technique.
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Laparoscopic gastric bypass in the treatment of morbid obesity. Preliminary results of a new technique.

机译：腹腔镜胃旁路术治疗病态肥胖。一种新技术的初步结果。

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INTRODUCTION: Gastric bypass is one of the most commonly used surgical techniques for the management of morbid obesity. It is usually done as an open surgery procedure, and in recent years surgeons have begun to perform it via the laparoscopic approach. The aim of this paper is to describe our surgical technique for laparoscopic gastric bypass (LGBP) and present the short-term results. MATERIALS AND METHODS: Between January 2000 and January 2002 we operated on 50 patients with morbid obesity who met criteria for bariatric surgery. The patients had a mean age of 34 years and a body mass index (BMI) of 47. RESULTS: Conversion was necessary in 4 of the 50 patients (8%). Mean operating time was 181 min, with a difference of 60 min between the first 10 and last 10 cases. There was a 26% rate of complications, 14% of which were early (%<% 30 days) and 12% late (%>%30 days). Mean hospital stay was 4.5 days. CONCLUSION: LGBP is a technique with good short-term results as far as weight loss is concerned, although it has one of the most complex learning curves in laparoscopic surgery. Surgeons who regard gastric bypass as the technique of choice for the surgical management of morbid obesity should consider performing it via the laparoscopic approach.
机译：引言：胃旁路术是用于控制病态肥胖的最常用手术技术之一。通常以开放手术的方式进行手术，近年来，外科医生已开始通过腹腔镜手术进行手术。本文的目的是描述我们的腹腔镜胃旁路术（LGBP）的手术技术，并提出短期结果。材料与方法：2000年1月至2002年1月，我们对50例符合肥胖手术标准的病态肥胖患者进行了手术。这些患者的平均年龄为34岁，体重指数（BMI）为47。结果：50例患者中有4例（8％）需要进行转化。平均手术时间为181分钟，前10例与后10例相差60分钟。并发症发生率为26％，其中14％为早期（％<％30天），12％为晚期（％>％30天）。平均住院天数为4.5天。结论：LGBP是一项在减肥方面具有良好短期效果的技术，尽管它是腹腔镜手术中最复杂的学习曲线之一。那些将胃旁路术作为病态肥胖症外科治疗选择技术的外科医生应考虑通过腹腔镜手术进行。

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