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首页> 外文期刊>Surgical Endoscopy >Safety of the laparoscopic adjustable gastric band: 7-year data from a U.S. center of excellence.
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Safety of the laparoscopic adjustable gastric band: 7-year data from a U.S. center of excellence.

机译：腹腔镜可调节胃带的安全性：美国卓越中心提供的7年数据。

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BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) has become one of the most common weight-loss procedures performed in the United States. The authors' high-volume academic medical center has gathered a database of almost 3,000 patients who have undergone LAGB since January 2001. The goal of this series, the largest to date on LAGB outcomes at a single institution, was to assess complications associated with LAGB. METHODS: A retrospective analysis was performed using longitudinal data from adult patients who underwent LAGB between 1 January 2001, and 29 February 2008. General and band-related complications were reported for all patients. Death and reoperation for weight gain (LAGB followed by either a second band insertion or a gastric bypass) also were reported. RESULTS: Of the 2,965 patients who received LAGB during the study period, 2,909 met the criteria for inclusion in this analysis, and 363 (12.2%) experienced one or more complications. The most common complications were band slip (4.5%) and port-related problems (3.3%). Other complications were rare. Only seven patients (0.2%) had band erosion. Eleven patients (0.4%) underwent reoperation for weight gain. A total of 10 deaths (0.34%) occurred during the study period. Three patients died within 30 days of surgery. Two of these deaths (0.06%) were related to surgery, and one resulted from a motor vehicle accident. Seven patients died of causes unrelated to surgery during the course of the study. CONCLUSIONS: The LAGB technique is a relatively safe procedure with few early or late complications. Few LAGB patients undergo reoperation for weight gain, and mortality is very rare.
机译：背景：腹腔镜可调胃绑扎带（LAGB）已成为美国最常见的减肥手术之一。作者的大量学术医学中心收集了自2001年1月以来接受过LAGB手术的近3,000名患者的数据库。该系列研究的目的是评估与LAGB相关的并发症，这是迄今为止单个机构对LAGB结果最大的一次研究。 。方法：使用2001年1月1日至2008年2月29日接受LAGB治疗的成年患者的纵向数据进行回顾性分析。所有患者均报告了一般和乐队相关并发症。也有死亡和体重增加的再手术（LAGB，然后再插入第二条带或进行胃旁路手术）。结果：在研究期间接受LAGB的2965名患者中，有2909名符合纳入分析的标准，其中363名（12.2％）经历了一种或多种并发症。最常见的并发症是带滑（4.5％）和与口相关的问题（3.3％）。其他并发症很少见。只有七名患者（0.2％）出现条带糜烂。 11例（0.4％）患者因体重增加再次手术。在研究期间，共发生10例死亡（0.34％）。三例患者在手术后30天内死亡。这些死亡中有2例（0.06％）与手术有关，其中1例是由于机动车事故造成的。在研究过程中，有7名患者死于与手术无关的原因。结论：LAGB技术是一种相对安全的手术，几乎没有早期或晚期并发症。很少有LAGB患者因体重增加而接受再次手术，死亡率非常罕见。

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