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首页> 外文期刊>Surgical Endoscopy >Comparison of the benefits and complications between laparoscopic and open Roux-en-Y gastric bypass surgeries.
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Comparison of the benefits and complications between laparoscopic and open Roux-en-Y gastric bypass surgeries.

机译：腹腔镜和开放式Roux-en-Y胃搭桥手术的益处和并发症的比较。

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BACKGROUND: In recent years, there has been an increase in numbers of individuals seeking laparoscopic surgical procedures for obesity. The current study compared the benefits and risks between laparoscopic and open Roux-en-Y gastric bypass (RYGBP) performed at the same center for more than 2,000 patients. METHODS: The study population consisted of 1,077 laparoscopic and 1,198 open RYGBP procedures performed between the years 1999 and 2002. Measurements included population characteristics, anthropometries, complications, and hospital stay. RESULTS: The laparoscopic RYGBP has both advantages and disadvantages. The disadvantages include a longer operative time and a higher incidence of fistulas, internal hernias, and small bowel obstruction. The advantages of the laparoscopic procedure are shorter hospital stay, lower incidence of wound infection, and fewer incisional hernias. Both procedures cause similar changes in body weight, but laparoscopic RYGBP is associated with less lean tissue loss during the early postoperative period. CONCLUSION: Both laparoscopic and open RYGBP are effective in inducing massive weight loss. There are, however, differences in the benefits and risks between the two procedures.
机译：背景：近年来，寻求腹腔镜手术治疗肥胖症的人数有所增加。当前的研究比较了在同一中心对2000多名患者进行的腹腔镜手术和开放式Roux-en-Y胃旁路手术（RYGBP）的利弊。方法：研究人群包括1999年至2002年进行的1077例腹腔镜和1198例开放式RYGBP手术。测量包括人群特征，人体测量学，并发症和住院时间。结果：腹腔镜RYGBP既有优点也有缺点。缺点是手术时间较长，瘘管，内疝气和小肠梗阻的发生率较高。腹腔镜手术的优点是住院时间更短，伤口感染的发生率更低，切口疝更少。两种方法均会引起类似的体重变化，但是腹腔镜RYGBP在术后早期与较少的瘦组织损失相关。结论：腹腔镜和开放式RYGBP均可有效地减轻体重。但是，这两种程序在收益和风险方面存在差异。

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