上海市减重代谢手术年度报告及趋势分析(2012-2016)

Bariatric/metabolic surgery annual research and trend analysis 2012-2016 in Shanghai

目的分析上海市2012-2016年减重代谢手术开展的概况。方法采用病例统计的方法,回顾性分析上海市2012-2016年各年各医院开展减重代谢手术情况,对病人的人口学数据、术式演变的趋势、并发症展开分析。结果 2012-2016年间上海市开展减重代谢手术的16家医院均提供了相关数据。共开展手术1599例,其中男性601例,女性998例。中位年龄32岁。开展袖状胃切除术(sleeve gastrectomy,SG)1044例,胃旁路术(Rouxen-Y gastric bypass,RYGB)456例。2012-2013年以RYGB为主,分别为76例(76%)及88例(70.9%)。自2014年起,SG取代RYGB成为上海市主要开展术式,2014年SG共214例(68.4%),2015年285例(70.4%),2016年483例(75.5%)。5年间总体手术量呈现进行性增长,平均手术时间减少,平均住院天数无显著变化,无死亡病人,并发症总发生率为3.2%。结论上海市减重代谢手术开展量逐年增加,目前SG已成为上海减重代谢手术的主流术式。

Objective The aim of this research is to report an overview of bariatric/metabolic surgery performed from 2012 to 2016 in Shanghai.Methods The study of evaluating the number and the type of bariatric/metabolic procedures was performed in Shanghai. Demographic characteristic, surgical procedure variation trendency and complications from 2012 to 2016 were also analyzed.Results All sixteen hospitals provided the surgical data （100%）. Most of patients were female, with mean age decreasing in 5 years. The total number of surgery procedures were 1599, with 601 males and 998 females, middle age was 32 years old. The most commonly performed procedure in Shanghai was Roux-en-Y gastric bypass （RYGB） in 2012-2013. Since 2014, Sleeve gastrectomy （SG） became the most commonly procedure. The number of SG in 2014 was 214 （68.4%） in 2014, 285 （70.4%） in 2015 and 483 （75.5%） in 2016. Mean surgical time decreased with no mortality. Total complication rate was 32.%. Conclusion Metabolic and bariatric surgery performed in Shanghai increased year by year, with more hospital participated. The SG was the main procedure performed in Shanghai at present.