左侧袖式胃切除术（LS-SG）：一种安全有效的减肥手术方法。

IF 3.1 3区医学 Q1 SURGERY

Obesity Surgery Pub Date : 2025-10-16 DOI:10.1007/s11695-025-08328-z

Libero Luca Giambavicchio, Antonio Matarangolo, Hong Tham Santi, Arianna Corvasce, Antonio Braun

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引用次数: 0

摘要

背景：腹腔镜袖胃切除术（LSG）已成为最常用的减肥手术之一。在多种手术入路中，左侧袖状胃切除术（LS-SG）在进入解剖区域方便、手术时间短、并发症发生率低等方面具有潜在的优势。方法：我们回顾性分析了2018年11月至2019年11月期间接受LS-SG治疗的728例患者的数据。手术技术包括使用位于腹部左侧的三个端口，可以很好地显示胃和适当的订书机定位。记录手术时间、并发症发生率和住院时间。结果：728例患者中，男性18.63%，女性81.37%，平均年龄40岁，平均手术时间25 min（15 ~ 70）。除1例患者术后需要输血外，其余患者均于术后2天出院。728例患者中有1例（0.1%）在出院后5天发生胃瘘。结论：LS-SG是一种安全、可重复性好、高效的LSG检测方法。它具有改善解剖暴露，减少手术时间和低并发症发生率的优点。

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Left-Sided Sleeve Gastrectomy (LS-SG): A Safe and Efficient Approach to Bariatric Surgery.

Background: Laparoscopic sleeve gastrectomy (LSG) has become one of the most commonly performed bariatric procedures. Among the various surgical approaches, the left-sided sleeve gastrectomy (LS-SG) offers potential advantages in terms of easy access to the anatomical region, operative time, and low complication rates.

Methods: We retrospectively analyzed data from 728 patients who underwent LS-SG between November 2018 and November 2019. The surgical technique consists of the use of three ports positioned on the left side of the abdomen, allowing good visualization of the stomach and adequate stapler positioning. Operative time, complication rates, and length of hospital stay were recorded.

Results: Among 728 patients (18.63% male, 81.37% female; mean age: 40 years), the mean operative time was 25 min (range 15-70). All patients were discharged after 2 days, except for one who required post-operative transfusion. One patient out of 728 (0.1%) developed a gastric fistula 5 days after being discharged.

Conclusions: LS-SG is a safe, reproducible, and efficient technique for performing LSG. It offers the advantages of improved anatomical exposure, reduced operative time, and low complication rates.

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来源期刊

Obesity Surgery 医学-外科

CiteScore

5.80

自引率

24.10%

发文量

567

审稿时长

3-6 weeks

期刊介绍： Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions. Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.