Open vs laparoscopic Roux-en-Y gastric bypass: Comparison of operative morbidity and mortality
Open vs laparoscopic Roux-en-Y gastric bypass: Comparison of operative morbidity and mortality
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DOI：
10.1381/096089204772787329
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发表时间：
2004-01-01
期刊：
影响因子：
2.9
通讯作者：
Simper, SC
中科院分区：
文献类型：
--
作者：
Smith, SC;Edwards, CB;Simper, SC
背景：开放式Roux-en-Y胃旁路术（RYGBP）已被证明是控制病态肥胖患者体重的有效方法。随着腹腔镜手术应用技术和手术技巧的进步，腹腔镜RYGBP也被发现在肥胖的手术控制中具有价值。目前正在根据经验确定两种方法比较的风险/效益比率。方法：对2000年3月1日至2002年6月30日行RYGBP手术的779例患者进行回顾性分析。A组328例行腹腔镜RYGBP， B组451例行开放式RYGBP。回顾了这些患者的所有图表和医院记录。问卷邮寄给所有接受RYGBP的患者。随访5 ~ 29个月。结果：A组89例，B组162例出现显著发病率。A组无一例手术死亡，b组一例手术死亡。体重减轻情况相同。发病率的显著差异指出关于gastrojejunal狭窄(A组= 11.6%,B组= 4.7%,P = .0012),发生腹incisonal疝(= 0%,B = 10%, P
Background: Open Roux-en-Y gastric bypass (RYGBP) has proven to be an effective method for weight control for the morbidly obese patient. With technologic and surgical skill advancement in the application of laparoscopic surgery, laparoscopic RYGBP has also been found to be of value in surgical control of obesity. Risk/benefit ratios in comparison of the 2 methods are undergoing definition by experience.Methods: 779 patients who underwent RYGBP between March 1, 2000 and June 30, 2002 were evaluated retrospectively. 328 patients underwent laparoscopic RYGBP (Group A) and 451 underwent open RYGBP (Group B). All charts and hospital records of these patients were reviewed. Questionnaires were mailed to all patients who had undergone RYGBP. Follow-up was 5-29 months.Results: 89 patients in Group A and 162 patients in Group B experienced significant morbidity. There were no surgical deaths in Group A and one surgical death in Group B. Weight loss profiles were the same. Significant differences in morbidity were noted with respect to gastrojejunal stenosis (Group A=11.6%, Group B=4.7%, P=.0012), occurrence of ventral incisonal hernia (A=0%, B=10%, P