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Initial Experience of Laparoscopic and Robotic Sleeve Gastrectomy for Morbidly Obese Korean Patients: A Single-institution Experiences
Journal of Metabolic and Bariatric Surgery 2014³â 3±Ç 1È£ p.11 ~ p.16
¹Ú¿µ¼®(Park Young-Suk) - ºÐ´ç¼¿ï´ëÇб³º´¿ø ¿Ü°ú
¹ÚµµÁß(Park Do-Joong) - ºÐ´ç¼¿ï´ëÇб³º´¿ø ¿Ü°ú
Á¤µµÇö(Jung Do-Hyun) - ºÐ´ç¼¿ï´ëÇб³º´¿ø ¿Ü°ú
¼Õ»ó¿ë(Son Sang-Yong) - ºÐ´ç¼¿ï´ëÇб³º´¿ø ¿Ü°ú
¾È»óÈÆ(Ahn Sang-Hoon) - ºÐ´ç¼¿ï´ëÇб³º´¿ø ¿Ü°ú
±èÇüÈ£(Kim Hyung-Ho) - ºÐ´ç¼¿ï´ëÇб³º´¿ø ¿Ü°ú
Abstract
Purpose: The number of sleeve gastrectomy of bariatric procedures showed a marked rise worldwide recently. This rapidacceptance of sleeve gastrectomy into the bariatric armamentarium can be attributed to its advantages which includes theapparent simplicity of the procedure coupled with effective weight loss, resolution of comorbidities, and lesser postoperativemorbidity. However, there have been few studies about laparoscopic sleeve gastrectomy (LSG) and robotic sleeve gastrectomy(RSG) in Korea. The aim of our study is to present our initial experience with LSG and RSG as a single-stage bariatricprocedure.
Materials and Methods: We retrospectively reviewed 18 patients underwent LSG (14 patients) and RSG (4patients) from December 2008 to November 2012.
Results: The mean age was 44.8 years (range, 26-75 years) and themean preoperative BMI was 43.2¡¾7.1 kg/m2 (range, 34.4-56.3 kg/m2). Mean operative time was 150.3¡¾44.5 min (LSG;136.5¡¾36.16 min vs RSG; 198.8¡¾39.2 min) and mean length of hospital stay was 4.9¡¾1.9 days. The mean BMI decreasedto 34.6¡¾7.0 kg/m2 and mean percentage of excess weight loss (%EWL) was 44.0¡¾15.9% at 1 year postoperatively.Immediate postoperative intra-abdominal bleeding occurred in 1 patient who underwent RSG, requiring laparoscopicbleeding control. Gastro-esophageal reflux disease (GERD) occurred in the large proportion (7 patients, 38.9%) of patients.Remission or improvement of type 2 diabetes mellitus, hypertension, hyperlipidemia was 86, 71, and 100%, respectively,at 1 year.
Conclusion: LSG and RSG as single-stage bariatric procedure are effective in terms of weight loss and improvementof comorbidities. Additional studies are needed to examine technical details for reducing complications, especiallyGERD
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Laparoscopy, Robotics, Sleeve gastrectomy
KMID :
1033120140030010011
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