PDF(Pubmed)
Abstract：
BACKGROUND: We aim to assess the effects of gastric posterior fixation with fibrin sealant in laparoscopic sleeve gastrectomy in aspects of 12th-month body mass index and gastric volume.
METHODS: The patients who underwent laparoscopic sleeve gastrectomy between January 2019 and February 2021 were divided into two groups preoperatively. The first 75 patients were appointed to the posterior fixation group, and the second 75 were to the control group. Changes in gastric volume and body mass index were assessed in the postoperative 12th month.
RESULTS: There were 110 patients in the final analysis. Fifty-four patients had posterior fixation, and 56 had only laparoscopic sleeve gastrectomy. The posterior fixation group was superior in terms of total weight loss rate (39.1% vs. 34.5%, p<0.001) and less gastric volume increase rate (39.8% vs. 164.7%, p<0.001) in the postoperative 12th month.
CONCLUSIONS: Our study suggests that posterior fixation with fibrin sealant in laparoscopic sleeve gastrectomy is a promising method for preventing weight regain and creating a need for revision surgery.
METHODS: The patients who underwent laparoscopic sleeve gastrectomy between January 2019 and February 2021 were divided into two groups preoperatively. The first 75 patients were appointed to the posterior fixation group, and the second 75 were to the control group. Changes in gastric volume and body mass index were assessed in the postoperative 12th month.
RESULTS: There were 110 patients in the final analysis. Fifty-four patients had posterior fixation, and 56 had only laparoscopic sleeve gastrectomy. The posterior fixation group was superior in terms of total weight loss rate (39.1% vs. 34.5%, p<0.001) and less gastric volume increase rate (39.8% vs. 164.7%, p<0.001) in the postoperative 12th month.
CONCLUSIONS: Our study suggests that posterior fixation with fibrin sealant in laparoscopic sleeve gastrectomy is a promising method for preventing weight regain and creating a need for revision surgery.
摘要：
背景：我们的目的是从12个月体重指数和胃体积方面评估在腹腔镜袖状胃切除术中应用纤维蛋白密封剂胃后固定术的效果。
方法：将2019年1月至2021年2月接受腹腔镜袖状胃切除术的患者分为两组。前75名患者被指定为后固定组，第二个75人进入对照组。在术后第12个月评估胃体积和体重指数的变化。
结果：最终分析有110例患者。54例患者进行了后路固定,56例仅进行了腹腔镜袖状胃切除术。后固定组在总体重减轻率方面优于（39.1%vs.34.5%,p<0.001）和较少的胃体积增加率（39.8％vs.164.7%,p<0.001）在术后第12个月。
结论：我们的研究表明，在腹腔镜袖状胃切除术中使用纤维蛋白密封剂进行后路固定是一种有前途的方法，可以防止体重恢复并需要进行翻修手术。
方法：将2019年1月至2021年2月接受腹腔镜袖状胃切除术的患者分为两组。前75名患者被指定为后固定组，第二个75人进入对照组。在术后第12个月评估胃体积和体重指数的变化。
结果：最终分析有110例患者。54例患者进行了后路固定,56例仅进行了腹腔镜袖状胃切除术。后固定组在总体重减轻率方面优于（39.1%vs.34.5%,p<0.001）和较少的胃体积增加率（39.8％vs.164.7%,p<0.001）在术后第12个月。
结论：我们的研究表明，在腹腔镜袖状胃切除术中使用纤维蛋白密封剂进行后路固定是一种有前途的方法，可以防止体重恢复并需要进行翻修手术。
