腹腔镜袖带胃切除术后患者和外科医生相关因素对体重减轻的影响--一项单中心研究

Q4 Medicine Medicina Pub Date : 2024-09-04 DOI:10.3390/medicina60091450
Mateusz Wityk, Natalia Dowgiałło-Gornowicz, Maciej Bobowicz
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引用次数: 0

摘要

背景和目的:肥胖症的手术治疗越来越受欢迎。外科医生一直试图找到一种简单的方法来预测最适合特定患者的手术干预类型。本研究旨在确定影响腹腔镜袖带胃切除术(LSG)后体重减轻的患者和外科医生相关因素。材料和方法:共有 129 名患者在一个外科部门接受了 LSG。对以下因素进行了分析:性别、年龄、术前和术后 6 个月的最高体重、肥胖相关疾病(如 2 型糖尿病和高血压)的发生率、参与手术的外科医生人数、手术由住院医生还是专科医生实施。结果还包括住院时间、手术时间和并发症。P≤0.05为统计学意义。结果共有129名患者(94名女性)接受了LSG手术,中位年龄为43岁,体重指数(BMI)为43.1 kg/m2,共有109名患者(84.5%)的超重体重指数(BMI)下降率≥50%(%EBMIL)。术前体重减轻对超重体重指数(%EBMIL)(p = 0.95)、手术时间(p = 0.31)和住院时间(p = 0.2)没有影响。手术团队中有两名或三名外科医生对手术时间(p = 0.1)、住院时间(p = 0.98)和EBMIL%(p = 0.14)没有影响。专科医生和受训外科医生的手术时间和住院时间相似。住院医生手术的EBMIL%更高,但无统计学意义(p = 0.19)。并发症发生率为 3.9%,无死亡或渗漏。结论术前合并症、外科医生的经验和手术团队中外科医生的数量不会影响 LSG 术后的并发症发生率、住院时间、手术时间和术后体重下降。
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Impact of Patient- and Surgeon-Related Factors on Weight Loss after Laparoscopic Sleeve Gastrectomy—A Single-Center Study
Background and Objectives: Surgical treatment for obesity is becoming increasingly popular. Surgeons have been trying to find a simple way to predict the type of surgical intervention that is best for a specific patient. This study aimed to determine the patient- and surgeon-related factors that affect weight loss after laparoscopic sleeve gastrectomy (LSG). Materials and Methods: A total of 129 patients underwent LSG in one surgical department. The following factors were analyzed: gender; age; highest preoperative and 6-month postoperative weight; the occurrence of obesity-related diseases, such as type 2 diabetes and hypertension; the number of surgeons involved in the surgery; and who performed the surgery, a resident or specialist. The outcomes also included length of hospital stay, operative time and complications. Statistical significance was defined as p ≤ 0.05. Results: A total of 129 patients (94 female) with a median age of 43 years and BMI of 43.1 kg/m2 underwent LSG, while a total of 109 (84.5%) patients achieved ≥50% of excess BMI loss (%EBMIL). Preoperative weight loss had no impact on %EBMIL (p = 0.95), operative time (p = 0.31) and length of hospital stay (p = 0.2). Two versus three surgeons in the operating team had no impact on surgery time (p = 0.1), length of stay (p = 0.98) and %EBMIL (p = 0.14). The operative time and length of hospital stay were similar for specialists and surgeons in training. %EBMIL was higher in the residents’ surgery without statistical significance (p = 0.19). Complications occurred in 3.9% without mortality or leaks. Conclusions: Preoperative comorbidities, surgeons’ experience and the number of surgeons in the operating team do not impact the complication rate, length of hospital stay, operative time and postoperative weight loss after LSG.
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来源期刊
Medicina
Medicina Medicine-Medicine (all)
CiteScore
0.10
自引率
0.00%
发文量
66
审稿时长
24 weeks
期刊介绍: Publicada con el apoyo del Ministerio de Ciencia, Tecnología e Innovación Productiva. Medicina no tiene propósitos comerciales. El objeto de su creación ha sido propender al adelanto de la medicina argentina. Los beneficios que pudieran obtenerse serán aplicados exclusivamente a ese fin.
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