中国实用外科杂志

中国实用外科杂志

• 论蓍 • 上一篇    下一篇

上海市减重代谢手术年度报告及趋势分析（2012-2016）

上海市医学会普外科分会减重代谢外科学组,上海市普通外科临床质量控制中心   

  • 出版日期:2018-01-01 发布日期:2018-01-17

  • Online:2018-01-01 Published:2018-01-17

摘要：

目的    分析上海市2012-2016年减重代谢手术开展的概况。方法    采用病例统计的方法，回顾性分析上海市2012-2016年各年各医院开展减重代谢手术情况，对病人的人口学数据、术式演变的趋势、并发症展开分析。结果    2012-2016年间上海市开展减重代谢手术的16家医院均提供了相关数据。共开展手术1599例，其中男性601例，女性998例。中位年龄32岁。开展袖状胃切除术（sleeve gastrectomy，SG）1044例，胃旁路术（Roux-en-Y gastric bypass，RYGB）456例。2012-2013年以RYGB为主，分别为76例（76%）及88例（70.9%）。自2014年起，SG取代RYGB成为上海市主要开展术式，2014年SG共214例（68.4%），2015年285例（70.4%），2016年483例（75.5%）。5年间总体手术量呈现进行性增长，平均手术时间减少，平均住院天数无显著变化，无死亡病人，并发症总发生率为3.2%。结论    上海市减重代谢手术开展量逐年增加，目前SG已成为上海减重代谢手术的主流术式。

关键词: 减重代谢手术, 胃旁路术, 袖状胃切除术

Abstract:

Bariatric/metabolic surgery annual research and trend analysis 2012-2016 in Shanghai      Bariatric Surgical Group, Shanghai Surgical Association; Shanghai Quality Control Center of General Surgery
Corresponding authors:ZHANG Pin, E-mail:yzonnezp@126.com; LOU Wen-hui,E-mail: lou.wenhui@zs-hospital.sh.cn;QIN Xin-yu,E-mail: qin.xinyu@zs-hospital.sh.cn
Abstract    Objective    The aim of this research is to report an overview of bariatric/metabolic surgery performed from 2012 to 2016 in Shanghai.Methods    The study of evaluating the number and the type of bariatric/metabolic procedures was performed in Shanghai. Demographic characteristic, surgical procedure variation trendency and complications from 2012 to 2016 were also analyzed.Results    All sixteen hospitals provided the surgical data (100%). Most of patients were female, with mean age decreasing in 5 years. The total number of surgery procedures were 1599, with 601 males and 998 females, middle age was 32 years old. The most commonly performed procedure in Shanghai was Roux-en-Y gastric bypass (RYGB) in 2012-2013. Since 2014, Sleeve gastrectomy (SG) became the most commonly procedure. The number of SG in 2014 was 214 (68.4%) in 2014, 285 (70.4%) in 2015 and 483 (75.5%) in 2016. Mean surgical time decreased with no mortality. Total complication rate was 32.%. Conclusion    Metabolic and bariatric surgery performed in Shanghai increased year by year, with more hospital participated. The SG was the main procedure performed in Shanghai at present.

Key words: bariatric/metabolic surgery, Roux-en-Y gastric bypass, sleeve gastrectomy