| Objective: To discuss the recent clinical efficacy and safety of laparoscopic adjustable gastric banding(LAGB)and laparoscopic sleeve gastrectomy(LSG) in the treatment of morbid obesity and related complications. Methods: Retrospective analysis the clinical data of 83 patients in our hosipital from January 2010 to December 2015,Including LAGB48 cases; LSG 35 cases, and observe the changes of obesity related indicators and complications before and after surgery in patients. Results: 83 cases of patients were successfully in laparoscopic surgery, no transfer laparotomy cases, patients were followed up for 3~24 months postoperatively, LAGB groups: operation time 50~175 min, an average of 83.5 min. Intraoperative hemorrhage 5~105 ml, an average of 17.7 ml. 2 ~ 8postoperative hospitalization days, an average of 4.5 days; LSG groups: operation time 55~ 240 min, an average of 118.5 min. Intraoperative hemorrhage from 80 to 280 ml, an average of 140.5 ml. Postoperative hospital 3 ~ 10 days, an average of 5.5 days.LAGB postoperative recently(1 month) vomiting after eating in 4 cases,Forward(1 month or more) stomach band sliding shift in 1 case, stomach sacculus expand in 1 case,postoperative waterflood system failure in 1 case; The fat liquefaction of incision in 1 case;LSG postoperative fat liquefaction of incision in 2 cases.Two groups of patients with postoperative did not appear serious complication such as malnutrition, electrolyte disorder. Postoperative patients with BMI,weight, waist circumference and other related indicators are on the decline,EWL % is on the rise. The comparison of change trend of above indexindicators and improve of complications between two groups, LSG is better than LAGB, the difference was statistically significant(P < 0.05).Conclusions: Two types of weight-loss surgery for treatment of morbid obesity and its related complications are safe and effective, By contrast, LSG has better clinical effect and worth to be promoted. |
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