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相關文獻
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題名 | Laparoscopic Vertical Banded Gastric Partition=腹腔鏡垂直加帶胃隔間術 |
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作者 | 李威傑; 黃銘德; 賴逸儒; 伍超群; 魏柏立; Lee, Wei-jei; Huang, Ming-te; Lai, I-ru; Wu, Chao-chuan; Wei, Po-li; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19990700、19990800 |
卷期 | 32:4 民88.07-08 |
頁次 | 頁165-171 |
分類號 | 416.243 |
語文 | eng |
關鍵詞 | 腹腔鏡垂直胃隔間術; 病態肥胖症; Morbid obesity; Laparoscopic; Gastric partition; |
中文摘要 | 在累積許多腹腔鏡胃部于術經驗後,我們開始以腹腔鏡結合傳統手術方法來治療病態肥胖病人。由民國87年10月1日至88年l月31日一共有包括14位男性,46位女性的60位中國病人在本院接受腹腔鏡 垂直胃隔間術。 這些病人的平均年齡為27.2歲(由19至55歲)。所有的病人都屬病態性肥胖,手術前平均體重為108.2公斤, (85.0至151.5公斤)。平均體重/體積值 ( BMI )為41公斤/平方公尺(35-53)。手術時間由90至320分鐘,轉成開腹的比率很低(1.6%)。主要的併發症有一例為胃囊穿孔(1.6%)。這位病人在接受剖腹修補後,於住院14日後出院。其他的併發症很低,且很輕微。病人一般在手術後第三日可出院。腹腔鏡手術後的體重減輕情形與開腹手術後類似。我們的經驗顯示以腹腔鏡執行垂直加帶胃隔間術是相當安全的。但是進一步的臨床經驗,研究及發展是必需的。 |
英文摘要 | After developing experience penorming laparoscopic gastric surgery we combined laparoscopic access with traditional surgical techniques to treat patients with morbid obesity. We report our experience with laparoscopic vertical banded gastric partitioning in 60 Chinese patients (14 men and 46 women) aged 19 to 55 years between October 1, 1998 and January 31, 1999 at our hospital. All the patients were morbidly obese, with an averaged preoperative weight of 108.2 Kg (85.3-151.5 Kg). The mean BMI was 41 kg/m2 (35-53 kg/m2). The operation time ranged from 90 to 320 miputes. The conversion rate to laparotomy has been low (1.6%). A major complication of pouch peforation occurred in one patient(1.6%). The patient received laparotomy and was discharged after hospitalization for 14 days. Other complications has been rare and mild. Patients were usually discharged on the 3rd postoperative day. The weight loss after laparoscopic procedure is in accordance with weight loss seen in open surgery. Our experience indicated that vertical banded gastric partitioning can be performed safely with laparoscopic access. However, it will remain an area of importance for clinical practice, research, and development. |
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