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中华普外科手术学杂志(电子版)

中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (05) : 482 -484. doi: 10.3877/cma.j.issn.1674-3946.2019.05.017

所属专题： 经典病例； 文献；

论著

超级肥胖代谢手术操作技巧及并发症防治体会附35例临床结局
吴安健1, 吴安芹2, 董光龙1,†(), 曹李1, 金露佳1, 魏一凡1, 刘兢文1, 田靖波1   
  1. 1. 解放军总医院第一医学中心普外科
    2. 贵阳中医学院第二附属医院
  • 收稿日期:2018-08-29 出版日期:2019-10-26
  • 通信作者: 董光龙

Operative techniques and prevention of complications in metabolic surgery for super obese patients, a report of 35 cases and clinical outcomes

Anjian Wu1, Anqin Wu2, Guanglong Dong1,†(), Li Cao1, Lujia Jin1, Yifan Wei1, Jingwen Liu1, Jingbo Tian1   

  1. 1. Department of General Surgery, First Medical Center, General Hospital of PLA, Beijing 100853, China
    2. The Second Affiliated Hospital of Guiyang College of Traditional Chinese Medicine, Guiyang 550003, China
  • Received:2018-08-29 Published:2019-10-26
  • Corresponding author: Guanglong Dong
  • About author:
    Corresponding author: Dong Guanglong, Email:
  • Supported by:
    The fund for capital clinic-oriented research and outcome application(grant number: Z151100004015209)
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引用本文：

吴安健, 吴安芹, 董光龙, 曹李, 金露佳, 魏一凡, 刘兢文, 田靖波. 超级肥胖代谢手术操作技巧及并发症防治体会附35例临床结局[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(05): 482-484.

Anjian Wu, Anqin Wu, Guanglong Dong, Li Cao, Lujia Jin, Yifan Wei, Jingwen Liu, Jingbo Tian. Operative techniques and prevention of complications in metabolic surgery for super obese patients, a report of 35 cases and clinical outcomes[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(05): 482-484.

目的

探讨超级肥胖代谢手术并发症的防治方法。

方法

收集2011年3月至2017年11月接受代谢手术的超级肥胖患者35例临床资料，回顾性分析其手术并发症发生率。

结果

35例患者中术后2例(5.71%)发生并发症，其中1例为胃切缘出血，再次手术修补，1例为Trocar疝，实施手术还纳。

结论

超级肥胖的代谢手术通过宏观及微观把控，其手术并发症能在可控范围。

关键词: 肥胖症, 代谢疾病, 外科手术, 手术后并发症
Objective

To explore the prevention and treatment of metabolic surgery complications in super-obese patients.

Methods

The clinical data of super-obese patients treated with metabolic surgery from March 2011 to November 2017 were collected. The incidence of surgical complications was retrospectively analyzed.

Results

There were 35 cases of super-obese patients treated with metabolic surgery, of whom 2 cases(5.71%) had postoperative complications. Hemorrhage at the gastric margin was found in one patient and reoperation was performed. Trocar hernia was found in one patient and the hernioplasty was performed.

Conclusion

Metabolic surgery for super obesity is controlled by macroscopic and microscopic aspects, and the incidence of its surgical complications is acceptable.

Key words: Obesity, Metabolic diseases, Surgical procedures, Postoperative complications
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