지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.5
- 발행연도
- 2019.5
- 수록면
- 259 - 265 (7page)
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초록· 키워드
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Purpose: Our aim for this study was to evaluate early and late complications and outcomes of primary sleeve gastrectomy (PSG) versus conversion sleeve gastrectomy (CSG).
Methods: From February 2013 to December 2016, a total of 180 patients underwent sleeve gastrectomy (150 PSG and 30 CSG). All patients received a metal clipping at the end of the stapling line and a continuous seromuscular suture at the resection margin, for reinforcement.
Results: There were no differences in the percentages among males and females or age between the 2 groups, but the body mass index (BMI) of the PSG group was higher at 36.8 ± 4.7 than that of the CSG group (32.4 ± 5.7, P < 0.001). Three early postoperative complications were noted in the PSG group; 1 patient underwent repeat laparoscopic exploration due to pancreatic injury, and 2 other patients developed pulmonary atelectasis. On the contrary, 2 early minor complications were noted in the CSG group. Thirty-eight patients (25.3%) in the PSG group developed 43 late, minor complications, while 9 patients (30.0%) developed 11 late minor and 1 major complication in the CSG group. However, there was no difference in complication rate between PSG and CSG. Percentage excess BMI loss at 3, 6, and 12 months after surgery was comparable between the groups.
Conclusion: PSG and CSG were comparable in terms of postoperative complications and loss of weight. Therefore, CSG could be used for failed primary restrictive bariatric surgery. However, the durability of these outcomes remains unknown.
Methods: From February 2013 to December 2016, a total of 180 patients underwent sleeve gastrectomy (150 PSG and 30 CSG). All patients received a metal clipping at the end of the stapling line and a continuous seromuscular suture at the resection margin, for reinforcement.
Results: There were no differences in the percentages among males and females or age between the 2 groups, but the body mass index (BMI) of the PSG group was higher at 36.8 ± 4.7 than that of the CSG group (32.4 ± 5.7, P < 0.001). Three early postoperative complications were noted in the PSG group; 1 patient underwent repeat laparoscopic exploration due to pancreatic injury, and 2 other patients developed pulmonary atelectasis. On the contrary, 2 early minor complications were noted in the CSG group. Thirty-eight patients (25.3%) in the PSG group developed 43 late, minor complications, while 9 patients (30.0%) developed 11 late minor and 1 major complication in the CSG group. However, there was no difference in complication rate between PSG and CSG. Percentage excess BMI loss at 3, 6, and 12 months after surgery was comparable between the groups.
Conclusion: PSG and CSG were comparable in terms of postoperative complications and loss of weight. Therefore, CSG could be used for failed primary restrictive bariatric surgery. However, the durability of these outcomes remains unknown.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
Favretti F / 2007 / Laparoscopic adjustable gastric banding in 1, 791 consecutive obese patients : 12-year results / Obes Surg 17:168~175
DeMaria EJ / 2001 / High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity / Ann Surg 233:809~818
Suter M / 2006 / A 10-year experience with laparoscopic gastric banding for morbid obesity : high long-term complication and failure rates / Obes Surg 16:829~835
Lazzati A / 2017 / Natural history of adjustable gastric banding : lifespan and revisional rate : a nationwide study on administrative data on 53, 000patients / Ann Surg 265:439~445
Sharples AJ / 2017 / Systematic review and meta-analysis of outcomes after revisional bariatric surgery following a failed adjustable gastric band / Obes Surg 27:2522~2536
DeMaria EJ / 2001 / High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity / Ann Surg 233:809~818
Suter M / 2006 / A 10-year experience with laparoscopic gastric banding for morbid obesity : high long-term complication and failure rates / Obes Surg 16:829~835
Lazzati A / 2017 / Natural history of adjustable gastric banding : lifespan and revisional rate : a nationwide study on administrative data on 53, 000patients / Ann Surg 265:439~445
Sharples AJ / 2017 / Systematic review and meta-analysis of outcomes after revisional bariatric surgery following a failed adjustable gastric band / Obes Surg 27:2522~2536
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UCI(KEPA) : I410-ECN-0101-2019-514-000759575