区域麻醉下腹腔镜袖式胃切除术。意大利报告首例病例]。

IF 4.7 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Obesity Facts Pub Date : 2025-05-23 DOI:10.1159/000540800
Chiara Mazzone, Maria Sofia, Giorgia Litrico, Enrico Vaccarisi, Luisa Gallo, Gaetano La Greca, Saverio Latteri
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引用次数: 0

摘要

本病例报告介绍了意大利第一例在脊髓麻醉下成功进行袖式胃切除术的病例,这是减肥手术领域的一个重要里程碑。病例介绍:本研究介绍了一名46岁女性患者的手术过程和术后结果,该患者体重指数为38 kg/m2,有中度阻塞性睡眠呼吸暂停综合征的病史。尽管接受减肥手术的肥胖患者会出现并发症,但区域麻醉的使用促进了良好的结果,减少了围手术期风险,增强了术后恢复。患者没有出现疼痛或呼吸并发症,证明了RA用于袖胃切除术的安全性和可行性,并强调了其作为减肥手术中全身麻醉的可行替代方案的潜力。此外,Ramsey量表(得分:2)的使用为了解患者的镇静水平提供了有价值的见解,有助于麻醉入路的整体评估。结论:本病例为支持在腹腔镜手术中使用区域麻醉提供了越来越多的证据,在患者安全、满意度和恢复结果方面具有显著优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Laparoscopic Sleeve Gastrectomy under Regional Anesthesia: First Case Reported in Italy.

Introduction: This case report presents the first documented instance in Italy of successful sleeve gastrectomy performed under spinal anesthesia, marking a significant milestone in the field of bariatric surgery.

Case presentation: Highlighting the innovative approach to anesthesia in the context of obesity treatment, this study explains the procedure and postoperative outcomes of a 46-year-old female patient with a BMI of 38 kg/m2, who had a history of moderate Obstructive Sleep Apnea Syndrome. Despite the complications associated with obese patients undergoing bariatric surgery, the use of regional anesthesia (RA) facilitated a favorable outcome, minimizing perioperative risks and enhancing postoperative recovery. The patient experienced no pain or respiratory complications, demonstrating the safety and feasibility of RA for sleeve gastrectomy, and underscoring its potential as a viable alternative to general anesthesia in bariatric surgery. In addition, the use of the Ramsey scale (score: 2) provided valuable insights into the patient's sedation level, contributing to the overall assessment of the anesthetic approach.

Conclusion: This case contributes to the growing evidence supporting the use of RA in laparoscopic surgeries, offering significant advantages in terms of patient safety, satisfaction, and recovery outcomes.

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来源期刊
Obesity Facts
Obesity Facts 医学-内分泌学与代谢
CiteScore
6.80
自引率
5.60%
发文量
77
审稿时长
6-12 weeks
期刊介绍: ''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.
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