腹腔镜袖状胃切除术与胃旁路术治疗单纯性肥胖症的近期疗效对比

Comparison of short-term effect of laparoscopic sleeve gastrectomy and gastric bypass in treatment of simple obesity

目的探讨腹腔镜袖状胃切除术(laparoscopic sleeve gastrectomy,LSG)与腹腔镜胃旁路术(laparoscopic Roux-en-Y gastric bypass,LRYGB)治疗单纯性肥胖症的疗效差异。方法回顾性分析2014年1月—2017年1月河南省人民医院胃肠外科一病区行腹腔镜减肥手术患者48例,按1∶1配比同期收集LSG组病人共24例及LRYGB组病人共24例。比较两组术后并发症、排气时间、术后平均在院时间,统计术后3、6、9、12个月体重指数(BMI)、血红蛋白(HGB)及Ca2+、Fe2+、Mg2+、VitB12。结果LSG组术后并发症、排气时间及术后平均在院时间均小于LRYGB组,有统计学意义(P<0.05);而术后3、6、9、12个月BMI、HGB及微量元素差异无统计学意义(P>0.05)。结论LSG能达到与LRYGB同等的近期减肥疗效,并且具有并发症少、康复快等优点,值得临床广泛应用。

Objective To investigate the difference between laparoscopic sleeve gastrectomy(LSG)and laparoscopic Roux-en-Y gastric bypass(LRYGB)in the treatment of simple obesity.Methods From January 2014 to January 2017,48 cases of laparoscopic weight-loss surgery in the first ward of gastrointestinal surgery of Henan people's hospital were analyzed retrospectively.24 cases in LSG group and 24 cases in LRYGB group were collected at the same time according to the ratio of 1∶1.The body mass index(BMI),hemoglobin(Hgb),Ca2+,Fe2+,Mg2+,VitB12 in 3,6,9 and 12 months after operation were compared.Results The postoperative complications,exhaust time and average time in hospital in LSG group were lower than those in LRYGB group(P<0.05),but there was no significant difference in BMI,HGB and trace elements in 3,6,9 and 12 months after operation(P>0.05).Conclusion LSG can achieve the same short-term weight-loss effect as LRYGB,and has the advantages of less complications and fast recovery,which is worthy of wide clinical application.