{"title":"三维与二维腹腔镜在袖式胃切除术中的应用:一例匹配比较","authors":"Lung-Yun Kang, Wei-Jei Lee, Sheng-Shih Chen","doi":"10.1097/fs9.0000000000000100","DOIUrl":null,"url":null,"abstract":"ABSTRACT Background Laparoscopic sleeve gastrectomy using two-dimensional (2-D) systems has been proven to be a safe and effective treatment for obesity. Three-dimensional (3-D) systems have recently been introduced in the general field. We hypothesized that using a 3-D system offers more benefits than using 2-D laparoscopy in sleeve gastrectomy. Methods Patients who underwent laparoscopic sleeve gastrectomy (LSG) without any other surgeries between January 1st, 2017, and February 28th, 2019, were included. Characteristic factors and outcomes were reviewed and compared between the groups using the 2-D system and the 3-D system, including sex, age, length of stay (LOS), body mass index (BMI), operative time, blood loss, morbidity, total body weight loss, and excess weight loss. Results Seventy-five patients underwent LSG and were included in the study. Among them, forty-two patients used the 3-D system, while thirty-three patients used the 2-D system. There were no significant differences between the two groups in terms of basic characteristics, including age, sex, and BMI. The morbidity rate did not differ, but the 3-D group experienced less blood loss (25.12 ml vs. 47.27 ml; p = 0.001) and shorter operative times (105.93 ± 30.645 mins vs. 128.94 ± 28.566 mins; p = 0.001) compared to the 2-D group (25.12 ml vs. 47.27 ml; p = 0.001). Weight loss at 6 months was similar between the two groups. Conclusion In conclusion, 3-D LSG shows promise in reducing both blood loss and operative time. Nevertheless, further prospective trials are essential to definitively establish its efficacy.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Using Three-Dimensional versus Two–Dimensional Laparoscopy in Sleeve Gastrectomy: A case matched comparison\",\"authors\":\"Lung-Yun Kang, Wei-Jei Lee, Sheng-Shih Chen\",\"doi\":\"10.1097/fs9.0000000000000100\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACT Background Laparoscopic sleeve gastrectomy using two-dimensional (2-D) systems has been proven to be a safe and effective treatment for obesity. Three-dimensional (3-D) systems have recently been introduced in the general field. We hypothesized that using a 3-D system offers more benefits than using 2-D laparoscopy in sleeve gastrectomy. Methods Patients who underwent laparoscopic sleeve gastrectomy (LSG) without any other surgeries between January 1st, 2017, and February 28th, 2019, were included. Characteristic factors and outcomes were reviewed and compared between the groups using the 2-D system and the 3-D system, including sex, age, length of stay (LOS), body mass index (BMI), operative time, blood loss, morbidity, total body weight loss, and excess weight loss. Results Seventy-five patients underwent LSG and were included in the study. Among them, forty-two patients used the 3-D system, while thirty-three patients used the 2-D system. There were no significant differences between the two groups in terms of basic characteristics, including age, sex, and BMI. The morbidity rate did not differ, but the 3-D group experienced less blood loss (25.12 ml vs. 47.27 ml; p = 0.001) and shorter operative times (105.93 ± 30.645 mins vs. 128.94 ± 28.566 mins; p = 0.001) compared to the 2-D group (25.12 ml vs. 47.27 ml; p = 0.001). Weight loss at 6 months was similar between the two groups. Conclusion In conclusion, 3-D LSG shows promise in reducing both blood loss and operative time. Nevertheless, further prospective trials are essential to definitively establish its efficacy.\",\"PeriodicalId\":12390,\"journal\":{\"name\":\"Formosan Journal of Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2023-10-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Formosan Journal of Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/fs9.0000000000000100\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Formosan Journal of Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/fs9.0000000000000100","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
背景使用二维(2-D)系统的腹腔镜袖胃切除术已被证明是一种安全有效的治疗肥胖的方法。三维(3-D)系统最近被引入到一般领域。我们假设使用三维系统比使用二维腹腔镜在袖式胃切除术中提供更多的好处。方法选取2017年1月1日至2019年2月28日期间行腹腔镜袖胃切除术(LSG)且未进行其他手术的患者。对使用二维系统和三维系统的两组患者的特征因素和结果进行回顾和比较,包括性别、年龄、住院时间(LOS)、体重指数(BMI)、手术时间、出血量、发病率、总体重减轻和超重减轻。结果75例患者行LSG,纳入研究。其中使用3-D系统的患者42例,使用2-D系统的患者33例。两组在基本特征(包括年龄、性别和BMI)方面没有显著差异。发病率无差异,但3d组出血量较少(25.12 ml vs 47.27 ml;P = 0.001)和较短的手术时间(105.93±30.645 min vs 128.94±28.566 min;p = 0.001),与2d组相比(25.12 ml vs 47.27 ml;P = 0.001)。6个月后,两组的体重下降情况相似。结论三维LSG在减少出血量和缩短手术时间方面具有良好的应用前景。然而,进一步的前瞻性试验对于确定其有效性是必要的。
Using Three-Dimensional versus Two–Dimensional Laparoscopy in Sleeve Gastrectomy: A case matched comparison
ABSTRACT Background Laparoscopic sleeve gastrectomy using two-dimensional (2-D) systems has been proven to be a safe and effective treatment for obesity. Three-dimensional (3-D) systems have recently been introduced in the general field. We hypothesized that using a 3-D system offers more benefits than using 2-D laparoscopy in sleeve gastrectomy. Methods Patients who underwent laparoscopic sleeve gastrectomy (LSG) without any other surgeries between January 1st, 2017, and February 28th, 2019, were included. Characteristic factors and outcomes were reviewed and compared between the groups using the 2-D system and the 3-D system, including sex, age, length of stay (LOS), body mass index (BMI), operative time, blood loss, morbidity, total body weight loss, and excess weight loss. Results Seventy-five patients underwent LSG and were included in the study. Among them, forty-two patients used the 3-D system, while thirty-three patients used the 2-D system. There were no significant differences between the two groups in terms of basic characteristics, including age, sex, and BMI. The morbidity rate did not differ, but the 3-D group experienced less blood loss (25.12 ml vs. 47.27 ml; p = 0.001) and shorter operative times (105.93 ± 30.645 mins vs. 128.94 ± 28.566 mins; p = 0.001) compared to the 2-D group (25.12 ml vs. 47.27 ml; p = 0.001). Weight loss at 6 months was similar between the two groups. Conclusion In conclusion, 3-D LSG shows promise in reducing both blood loss and operative time. Nevertheless, further prospective trials are essential to definitively establish its efficacy.
期刊介绍:
Formosan Journal of Surgery, a publication of Taiwan Surgical Association, is a peer-reviewed online journal with Bimonthly print on demand compilation of issues published. The journal’s full text is available online at http://www.e-fjs.org. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.