Abstract:
Objective To investigate the efficacy and safety of two types of laparoscopic metabolic surgery in treating super obesity.
Methods Form March 2011 to November 2017, clinical data of 30 patients with super obesity were analyzed retrospectively. There were 9 cases underwent laparoscopic sleeve gastrectomy (LSG group) and 21 cases received laparoscopic Roux-en-Y gastric bypass (LRYGB group). Statistical analysis were performed by using SPSS 21.0 software package. Measurement data such as perioperative indicators, postoperative clinical indicators and Percentage of extra weight loss (%EWL) were expressed as (±s) and examined by using independent t-test. Count data such as short- and long-term complication rate and efficacy were compared by using χ2 test. A P value of <0.05 was considered as statistically significant difference.
Results 30 patients underwent laparoscopic surgery successfully without conversion to open surgery. The% EWL of the two groups increased significantly within 6 months after operation, and then increased slowly. LSG group was less than LRYGB group (P<0.01), suggesting that the short-term weight loss effect of LRYGB group was better than LSG group. One patient in LSG group had bleeding at the cutting edge of stomach 2 days after operation, and underwent reoperation. One patient in LRYGB group had alopecia and osteoporosis 6 months after operation. There was no significant difference in the early and long-term complications between the two groups (P>0.05).
Conclusions Both LSG and LRYGB for the treatment of super obesity are safe and effective during short term follow-up period.
Key words:
Super obesity,
Treatment outcome,
Postoperative complications,
Laparoscopes,
Metabolic surgery
Yingjie Zhao, Li Cao, Lujia Jin, Guanglong Dong. Therapuetic Treatment of super obesity by laparoscopic metabolic surgery, report of 30 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(02): 128-131.