腹腔镜可调控性胃捆扎带减肥术治疗病态肥胖术后并发症的诊治

Diagnosis and treatment of postoperative complications after laparoscopic adjustable gastric banding procedure

目的探讨腹腔镜可调控性胃捆扎带减肥术(LAGB)术后并发症的发生及其诊治。方法回顾分析2003年6月至2004年11月23例在我院行LAGB减肥术的病态肥胖患者的临床资料。结果术后出现恶心、呕吐3例,腹部穿刺口感染1例,进食不耐受5例,以上均经保守处理治愈。捆扎带移位1例,行腹腔镜胃捆扎带取出术。注水泵移位1例,行注水泵异位包埋治愈。未出现死亡和血栓栓塞病例。结论LAGB治疗病态肥胖症的术后并发症的诊断和治疗有其特殊性,只要方法得当,可获得良好效果。

Objective To investigate the diagnosis and treatment of the complications in patients after laparoscopic adjustable gastric banding（LAGB） procedure. Methods Retrospectively analyze the data of the 23 patients who received the LAGB procedure from June 2003 to November 2004. Results Of the 23 LAGB operations, 3 （13%） cases of vomiting and nausea, 1 （4. 3% ） case of access-port infection and 5 （21.4%） cases of food intolerance occurred. One band （4.3%） and one injection reservoir （4. 3% ） displaced and were removed by laparoscopy. No death and thrombo-embolism occurred. Conclusions The diagnosis and treatment of complications after LAGB in morbid obesity was special, if managed properly, the result would be satisfactory.