Objective:To evaluate the surgical outcomes and complications after laparoscopic adjustable gastric banding(LAGB)in obese patients.Methods:This retrospective study included 228 patients(73 males and 155 females,mean a...Objective:To evaluate the surgical outcomes and complications after laparoscopic adjustable gastric banding(LAGB)in obese patients.Methods:This retrospective study included 228 patients(73 males and 155 females,mean age,32.5±10.3 years)who underwent LAGB at the Changhai Hospital of the Second Military Medical University from June 2003 to June 2011.The body weight and postoperative complications were followed up.Results:The pre-operative mean body mass index(BMI)was 39.5±6.3 kg/m^(2).Except in one case of inadequate exposure of the stomach,all laparoscopic procedures were successfully accomplished,with no conversion to open surgery.The mean operation time was 65.0±20.3 min.The mean hospital stay was 2.7±0.9 days.Early postoperative complications(<30 days)occurred in five cases(2.2%)and late complications(>30 days)occurred in 75 cases(32.9%),including 56 cases(24.6%)with band-associated complications.The percentage of excess weight loss(EWL%)at 1,3 and 5 years was 40.5±30.5%,59.5±41.5%and 58.9±46.4%,respectively.The percentages of patients with EWL%>25%,>50%and>75%were,respectively,60%,33%and 0%at 1 year follow-up,43%,39%,and 16%at 3 years follow-up and 40%,34%and 16%at 5 years follow-up.Conclusion Although LAGB has low peri-operative mortality and morbidity rates,it is associated with a high late complication rate and unsatisfactory weight loss.It may be optional,but not the first choice,for the treatment of obesity.展开更多
文摘Objective:To evaluate the surgical outcomes and complications after laparoscopic adjustable gastric banding(LAGB)in obese patients.Methods:This retrospective study included 228 patients(73 males and 155 females,mean age,32.5±10.3 years)who underwent LAGB at the Changhai Hospital of the Second Military Medical University from June 2003 to June 2011.The body weight and postoperative complications were followed up.Results:The pre-operative mean body mass index(BMI)was 39.5±6.3 kg/m^(2).Except in one case of inadequate exposure of the stomach,all laparoscopic procedures were successfully accomplished,with no conversion to open surgery.The mean operation time was 65.0±20.3 min.The mean hospital stay was 2.7±0.9 days.Early postoperative complications(<30 days)occurred in five cases(2.2%)and late complications(>30 days)occurred in 75 cases(32.9%),including 56 cases(24.6%)with band-associated complications.The percentage of excess weight loss(EWL%)at 1,3 and 5 years was 40.5±30.5%,59.5±41.5%and 58.9±46.4%,respectively.The percentages of patients with EWL%>25%,>50%and>75%were,respectively,60%,33%and 0%at 1 year follow-up,43%,39%,and 16%at 3 years follow-up and 40%,34%and 16%at 5 years follow-up.Conclusion Although LAGB has low peri-operative mortality and morbidity rates,it is associated with a high late complication rate and unsatisfactory weight loss.It may be optional,but not the first choice,for the treatment of obesity.
