| Objective To explore the short-term effect of laparoscopic sleeve stomach surgery in the treatment of severe obesity. Methods Forty-two patients with severe obesity who received LSG treatment in the Second Affiliated Hospital of Anhui Medical University from January 2018 to January 2019 were selected. The clinical and follow-up data of the patients were retrospectively analyzed, and the postoperative complications were recorded. The body mass, body mass index (BMI), percentage of extra body weight decrease, triglyceride (TG) and serum total bile were compared before and 1, 3, 6 and 12 months after operation Sterols, serum low density lipoprotein, serum high density lipoprotein, serum uric acid and liver CT value were measured. Patients' sleepiness, anxiety and depression were evaluated by Epworth Sleepiness Scale, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Results Laparoscopic sleeve gastrectomy was successfully performed in 42 patients. Postoperative fat liquefaction occurred in 2 patients, vomiting in 4 patients, and short-term total parenteral nutrition in 3 patients with residual gastric edema. No Clavien-Dindo class III or above complications occurred. There were significant differences in body mass and BMI between preoperative and postoperative 1,3,6,12 months (P<0.05), and EWL (%) at each time point after operation was statistically significant (P<0.05). The body mass and BMI at 1,3,6,12 months after operation were lower than those before operation, EWL% at 3,6 and 12 months after operation were lower than those at 1 month after operation, TG at 3,6,12 months after operation was lower than that before operation, and CT value of liver at 6,12 months after operation was higher than that before operation(P<0.05). The scores of Epworth, SAS and SDS at 12 months after operation were lower than those before operation (P<0.05). Conclusion LSG can effectively treat severe obesity and its complications with low complications and definite curative effect, which is worth clinical popularization. |
