中国实用外科杂志

中国实用外科杂志

• 论著 • 上一篇    下一篇

减重手术228例术后并发症分析

于一凡1，王    勇2，刘金钢2   

  1. 1中国医科大学附属盛京医院普外科，辽宁沈阳 110004；2中国医科大学附属第四医院普外科，辽宁沈阳110032
  • 出版日期:2015-05-01 发布日期:2015-04-28

  • Online:2015-05-01 Published:2015-04-28

摘要：

目的    探讨减重手术的并发症及其处理方法。方法    回顾分析中国医科大学附属盛京医院2010年1月至2015年1月行减重手术治疗单纯肥胖或肥胖合并2型糖尿病病人228例临床资料，术式包括腹腔镜胃旁路术、袖状胃切除术、胃束带术，总结并分析其并发症情况。结果    腹腔镜胃旁路术143例，其中发生吻合口溃疡并出血2例，吻合口狭窄1例，营养不良2例，胸腔积液1 例，腹腔小肠扭转1例；腹腔镜袖状胃切除术77 例，术后发生持续反流呕吐2例，残留漏 1例；腹腔镜胃束带术8例，取出胃束带 1例。结论    减重手术术后并发症发生率相对较低，且经积极处理后预后均较好。

关键词: 肥胖症, 2型糖尿病, 减重手术, 并发症

Abstract:

Postoperative complications of bariatric surgery：An analysis of 228 cases        YU Yi-fan*，WANG Yong，LIU Jin-gang. *Department of General Surgery, Shengjing Hospital of China Medical University，Shenyang 110004，China 
Corresponding author：LIU Jin-gang，E-mail：liujg1347@sina.com
Abstract    Objective    To explore the clinical complications of bariatric surgery and treatment methods. Methods    The clinical data of 228 patients with obesity and type 2 diabetes underwent bariatric surgeries between January 2010 and January 2015 in Shengjing Hospital of China Medical University including laparoscopic gastric bypass，sleeve gastrectomy and banding surgery were analyzed retrospectively. The complications were summarized. Results    One hundred and forty three cases of laparoscopic gastric bypass included 2 cases of anastomotic ulcer and bleeding，1 case of anastomotic stenosis，2 cases of malnutrition，1 case of pleural effusion，1 case of intestinal twist. In 77 cases of laparoscopic sleeve gastrectomy，there were 2 cases of postoperative continuous reflux vomiting，1 case of fistula. In 8 cases of laparoscopic banding surgery，there was 1 case of gastric banding withdrawn. Conclusion    Postoperative complication rate of bariatric surgeries is relatively low, and the prognosis was good after active treatment.

Key words: obesity, type 2 diabetes mellitus, bariatric surgery, complication