Laparoscopic Sleeve Gastrectomy In The Treatment Of Obesity

Objective:To explore the therapeutic effect of laparoscopic sleeve gastrectomy(LSG)on obesity and its complications.Methods:The clinical data of 84 patients who underwent LSG in the First Affiliated Hospital of Xinjiang Medical University from June2013 to December 2019 were retrospectively analyzed.The median follow-up time was 26months(6-84 months).The follow-up indexes included various body weight indexes and many blood indexes.The changes of a series of indexes were compared and analyzed.Results:Laparoscopic surgery was successfully performed in 83 patients except one patient who was converted to laparotomy due to massive bleeding.The average body mass index was(39.3±6.9)kg/m~2.The common complications were obstructive sleep apnea syndrome(66.7%),type 2 diabetes mellitus(20.2%),primary hypertension(17.9%)and gastroesophageal reflux disease(8.3%).The remission rates at 6 months after operation were 66.1%,70.6%,86.7%and 71.4%respectively.At 1,2 and 3 years after operation,the average percentage of weight loss(EWL%)was(81.2±16.4)%,(68.5±14.6)%,(65.5±13.7)%,respectively.The percentage of successful weight loss(EWL%≥50%)was94.3%(n=70),93.3%(n=45)and 91.7%(n=24),respectively.One year after operation,there were 4 patients with poor results,and the EWL%were 47.2%,42.9%,45.6%and44.5%respectively.No serious complications were found.Conclusion:LSG has a clear and effective weight loss effect,and can significantly alleviate obesity related complications.It has been widely used because of its simple operation,safety,high efficiency and fewer complications.However,its long-term efficacy and treatment mechanism for obesity still need to be further studied.