重度肥胖症的腹腔镜外科治疗

Laparoscopic Surgery for Severe Obesity

目的探讨腹腔镜下重度肥胖症患者外科手术治疗疗效以及体内基本内环境和并发症的变化。方法对6例重度肥胖症患者行腹腔镜下胃减容手术,其中行可调式胃绑带术(LAGB)2例、行腹腔镜下胃旁路术(LGBP)2例、行腹腔镜下袖状胃切除术(LSG)2例。术后定期监测血红蛋白、清蛋白、电解质等生理指标;定期检查体质量、体质指数、上臂围径等肥胖指标;定期了解血压、血糖等肥胖伴发症的情况。结果行腹腔镜下胃减容手术的重度肥胖症患者术后1年体内基本环境状态的生理指标无明显变化;肥胖指标与术前比较,差别有统计学意义(P<0.05);并发症改善明显。结论腹腔镜下胃减容手术对重度肥胖症患者而言减肥疗效确切、生理干扰小,也有益于治疗肥胖并发症。

Objective To study the effect of laparoscopic treatment on severe obesity, and the postoperative changes of basic internal environment of the body and associated complications. Methods Six patients with severe obesity respectively undergone Laparoscopic adjustable gastric banding （LAGB） （2 cases）, Roux-en- Y Laparoscopic gastric bypass （LGBP） （2 cases） and Laparoscopic sleeve gastrectomy （LSG） （2 cases）. The general conditions of postoperative recovery were periodically evaluated, including hemoglobin, albumin and electrodes in physiological indexes ; body weight, body mass index and arm circumference in obesity indexes; and blood pressure and blood glucose in complication. Results One year postoperatively, there was no significant change in the physiological indexes; the obesity indexes were improved significantly （ P 〈 0. 05 ）, and the complications were obviously improved. Conclusion Laparoscopic gastroplasty is definitely effective to weight reduction in severe obesity, has little interference on physiology and is conductive to treatment of associated complications.