Initial Experience of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients
Journal of the Korean Surgical Society
; : 460-466, 2010.
Article
Dans Ko
| WPRIM
| ID: wpr-118654
Responsable en Bibliothèque :
WPRO
ABSTRACT
PURPOSE:
Laparoscopic sleeve gastrectomy (LSG) is rapidly gaining ground as one of the surgical procedures in bariatric surgery with emerging long-term follow-up data. The aim of the present study was to report our initial experience of LSG in morbidly obese patients.METHODS:
Sixty-four consecutive patients underwent LSG from April 2009 to July 2010 at our bariatric surgery center. Patients eligible for LSG were those with a body mass index (BMI) of >37 kg/m2, and >32 kg/m2 with co-morbidities. LSG was performed using 5 trocars and endo-staplers with guidance of 34 Fr bougie. Perioperative management was standardized. The clinical data were prospectively collected and retrospectively analyzed.RESULTS:
Among 64 patients, 19 were male and 45 were female, mean age was 35 years (range 20~57), mean preoperative BMI was 38.8 kg/m2 (range 32~57), and mean preoperative body weight was 108 kg (range 75~164). Mean operative time was 118 minutes (range 65~340) and mean length of hospital stay was 3.4 days (range 1~82). Staple line leak occurred in 1 patient, kinking of the gastric tube occurred in 2 patients. There was no open conversion and no postoperative mortality. After 170 days of follow-up, 24.4 kg of body weight loss and 52.7% of excess weight loss (%EWL), on average, was noted.CONCLUSION:
Though long-term follow-up is needed, our early operative outcome was satisfactory in terms of %EWL and safety of the procedure. LSG was a safe and effective treatment strategy for morbidly obese patients.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Instruments chirurgicaux
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Poids
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Obésité morbide
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Perte de poids
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Indice de masse corporelle
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Études prospectives
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Études rétrospectives
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Études de suivi
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Chirurgie bariatrique
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Durée opératoire
Type d'étude:
Guideline
/
Observational_studies
/
Prognostic_studies
Limites du sujet:
Female
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Humans
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Male
langue:
Ko
Texte intégral:
Journal of the Korean Surgical Society
Année:
2010
Type:
Article