摘要
目的比较连续与间断缝合方式在腹腔镜袖状胃切除术中大网膜固定术(OP)的差异、安全性和有效性。方法回顾性分析2019年1月—2020年3月在暨南大学附属第一医院肥胖与代谢外科行腹腔镜袖状胃切除术+OP的121例患者的临床资料包括男性患者40例, 女性患者81例, 平均年龄分别为(30.17±10.16)、(27.10±11.03)岁, 其中70例患者在OP中采用连续缝合方式(连续缝合组), 51例患者采用间断缝合方式(间断缝合组)。比较两组手术时间、术中出血量、术后疼痛评分、术后并发症等。正态分布的计量资料以均数±标准差(Mean±SD), 两组之间的比较采用χ2检验。偏态分布计量资料以四分位数M(P25, P75)表示, 组间比较采用Mann-whitneyU检验, 计数资料以例(%)表示, 组间比较采用t检验。等级资料采用Wilconxon秩和检验。结果 (1)术中情况:连续缝合组手术时间、术中出血量分别为(124.89±37.69) min、(7.3±2.5) mL;间断缝合组上述指标分别为(124.80±35.53) min、(7.0±2.5) mL。两组间比较差异无统计学意义(t=0.012, 0.709, P>0.05)。(2)术后情况:连续缝合组术后疼痛评分、术后住院天数分别为:轻度疼痛45例、中度疼痛25例、无痛和重度疼痛0例、(9.3±3.2) d;间断缝合组上述指标为轻度疼痛39例、中度疼痛12例、无痛和重度疼痛0例、(8.7±2.1) d, 两组间比较差异无统计学意义(Z=-1.431, P>0.05;t=1.149, P>0.05)。连续缝合组患者术后发生腹胀8例、恶心呕吐32例、上消化道造影胃食管反流17例、造影剂通过残胃/吻合口缓慢14例、胃扭转6例、无术后感染、吻合口漏发生;间断缝合组上述指标为10例、25例、14例、10例、1例, 也无术后感染、吻合口漏发生。两组间上述指标比较差异无统计学意义(χ2=1.559, 0.010, 0.155, 0.003, 1.308, P>0.05)。结论在腹腔镜袖状胃切除术中行大网膜固定时, 连续缝合与间断缝合在手术时间、术中出血量及术后�
Objective:To compare the safety of continuous suture and interrupted suture in Laparoscopic Sleeve Gastrectomy and Omentopexy.Methods:The retrospective study include 121 patients who underwent Laparoscopic Sleeve Gastrectomy and Omentopexy in the Department of Obesity and Metabolic Surgery of the First Affiliated Hospital of Jinan University from January 2019 to March 2020.Among the 121 patients,40 were males and 81 females,with an average age of(30.17±10.16)and(27.10±11.03),respectively.Among them,70 patients used continuous suture during OP(continuous suture group),and 51 patients used intermittent suture(interrupted suture group).The operation time,intraoperative blood loss,postoperative pain score,postoperative complications were compared between the two groups.Normally distributed measurement data were measured as(mean±standard)deviation(Mean±SD),and t test was used to count the comparison between the two groups.Theχ2 test was used to compare the measurement data between groups.The rank data used Wilconxon rank sum test.Results:(1)Intraoperative conditions:the operative time and intraoperative blood loss in the continuous suture group were(124.89±37.69)min and(7.3±2.5)mL,respectively.In the interrupted suture group,the above indexes were(124.80±35.53)min and(7.0±2.5)mL,respectively.There was no significant difference between the two groups(t=0.012,0.709,P>0.05).(2)Postoperative conditions:postoperative pain score and postoperative hospital stay in the continuous suture group were:mild pain in 45 cases,moderate pain in 25 cases,painless and severe pain in 0 cases,(9.3±3.2)d,respectively.In the interrupted suture group,the above indicators were 39 cases of mild pain,12 cases of moderate pain,0 cases of painless and severe pain,(8.7±2.1)d,and there was no statistical significance between the two groups(Z=-1.431,P>0.05,t=1.149,P>0.05).In the continuous suture group,postoperative abdominal distension occurred in 8 cases,nausea and vomiting in 32 cases,gastroesophageal reflux in 17 cases by upper digest
作者
郭婕
陈文辉
姜舒文
朱杰
王存川
董志勇
Guo Jie;Chen Wenhui;Jiang Shuwen;Zha Jie;Wang Cunchuan;Dong Zhiyong(Department of Gastrointestinal Surgery,the First Affiliated,Hospital of Jinan University,Guangzhou 510630,China)
出处
《国际外科学杂志》
2021年第11期732-737,共6页
International Journal of Surgery
基金
旗舰专科建设专项—普外科(71003)。
关键词
肥胖症
腹腔镜
胃切除术
减重手术
连续缝合
间断缝合
Obesity
Laparoscopes
Gastrectomy
Weight-loss surgery
Continuous suture
Interrupted suture
