Linear versus Circular Stapler for Gastrojejunal Anastomosis in Laparoscopic Roux-En-Y Gastric Bypass: An Analysis of 211 Cases.

Surgery Research and Practice Pub Date : 2020-07-30 eCollection Date: 2020-01-01 DOI:10.1155/2020/4090797

Laurin Burla, Pascal Weibel, Cornelia Baum, Markus Huber, Thomas Gürtler, Markus Weber

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引用次数: 6

Abstract

Purpose: Although laparoscopic Roux-en-Y gastric bypass (LRYGB) is a frequently performed bariatric procedure, there is still no consensus on its technical implementation.

Methods: 211 patients treated with LRYGB in a single institution between March 2011 and October 2016 were analyzed retrospectively. A subgroup analysis for the linear (LSA) versus circular stapler technique (CSA) for gastrojejunal anastomosis (GJA) was performed to evaluate complications and outcomes.

Results: 128 (60.6%) patients received GJA with CSA and 83 (39.4%) with LSA. Average weight loss one year after surgery, respectively, BMI after one year of follow-up (kg/m²), showed no significant difference. Median surgery time was significantly shorter in the LSA group. If the procedure was performed with CSA, significantly more wound infections occurred.

Conclusions: Both the circular and the linear stapler techniques for gastrojejunal anastomosis in laparoscopic Roux-en-Y gastric bypass are safe methods with comparable outcomes. A disadvantage of CSA is the significantly higher rate of wound infections, a circumstance which requires increased attention.

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线性吻合器与圆形吻合器在腹腔镜Roux-En-Y胃旁路术中胃空肠吻合211例分析。

目的:虽然腹腔镜Roux-en-Y胃旁路术(LRYGB)是一种常见的减肥手术，但对其技术实施仍未达成共识。方法:回顾性分析2011年3月至2016年10月在同一医院接受LRYGB治疗的211例患者。对线性吻合器(LSA)与圆形吻合器技术(CSA)在胃空肠吻合术(GJA)中的应用进行亚组分析，以评估并发症和结果。结果:GJA合并CSA患者128例(60.6%)，LSA患者83例(39.4%)。术后1年平均体重下降，随访1年后BMI (kg/m2)，均无显著差异。LSA组中位手术时间明显缩短。如果在CSA下进行手术，伤口感染的发生率明显增加。结论:环形吻合器和线性吻合器在腹腔镜Roux-en-Y胃旁路术中吻合胃空肠是一种安全的方法，效果相当。CSA的一个缺点是伤口感染率明显较高，这种情况需要更多的关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgery Research and Practice

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期刊介绍： Surgery Research and Practice is a peer-reviewed, Open Access journal that provides a forum for surgeons and the surgical research community. The journal publishes original research articles, review articles, and clinical studies focusing on clinical and laboratory research relevant to surgical practice and teaching, with an emphasis on findings directly affecting surgical management.