Accelerated growth of bariatric surgery with the introduction of minimally invasive surgery
Accelerated growth of bariatric surgery with the introduction of minimally invasive surgery
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DOI：
10.1001/archsurg.140.12.1198
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发表时间：
2005-12-01
影响因子：
--
通讯作者：
Wilson, SE
中科院分区：
文献类型：
--
作者：
Nguyen, NT;Root, J;Wilson, SE
假设：全国减肥手术使用率的增加与腹腔镜减肥手术的普及相关。设计：对1998年至2002年全国住院患者样本数据进行评估。设置：国家数据库患者：共有188 599名患者接受减肥手术治疗病态肥胖症。主要观察指标：年度减肥手术总数，Roux-en-Y胃旁路手术与胃成形术的比例，术后腹腔镜手术的比例，住院时间，住院粗死亡率，以及进行减肥手术的机构数量。结果：1998至2002年间，减肥手术的数量从12 775例增加到70 256例。减肥手术率从每10万人6.3例增加到32.7例。腹腔镜减肥手术从2.1%增加到17.9%。拥有美国减肥外科学会会员资格的减肥外科医生数量从258人增加到63人1人，实施减肥手术的机构从131家增加到323家。在这5年中，与开腹减肥手术的线性增长(3倍)相比，腹腔镜减肥手术的年率呈指数级增长(44倍)。结论：1998至2002年间，美国实施的减肥手术数量增加了450%，美国减肥外科学会的减肥外科医生数量增加了144%，减肥中心的数量增加了146%。在这5年期间，腹腔镜式减肥手术的增长大大超过了开腹减肥手术。
Hypothesis: An increase in national utilization of bariatric surgery correlates with the dissemination of laparoscopic bariatric surgery.Design: Evaluation of Nationwide Inpatient Sample data from 1998 through 2002.Setting: National database Patients: A total of 188 599 patients under-went bariatric surgery for the treatment of morbid obesity.Main Outcome Measures: Annual total number of bariatric operations, the proportion of Roux-en-Y gastric bypass vs gastroplasty, the proportion of laparoscopic cases, postoperative length of stay, crude in-hospital mortality, and the number of institutions that perform bariatric surgery.Results: Between 1998 and 2002, the number of bariatric operations increased from 12 775 cases to 70 256 cases. The rate of bariatric surgery increased from 6.3 to 32.7 procedures per 100 000 adults. Laparoscopic bariatric surgery increased from 2.1% to 17.9%. The number of bariatric surgeons with membership in the American Society for Bariatric Surgery increased from 258 to 63 1, and the number of institutions that perform bariatric surgery increased from 131 to 323. During this 5-year period, the annual rate of laparoscopic bariatric surgery increased exponentially (by 44-fold) compared with a linear growth in open bariatric surgery (by 3-fold).Conclusions: Between 1998 and 2002, there was a 450% increase in the number of bariatric operations performed in the United States, a 144% increase in the number of American Society for Bariatric Surgery bariatric surgeons, and a 146% increase in the number of bariatric centers. The growth of laparoscopic bariatric surgery during this 5-year period greatly exceeds that of open bariatric surgery.