Elif BÜYÜKERKMEN, Tunzala YAVUZ, Ömer SERT, Elif DOĞAN BAKI, Murat AKICI, Ahmet YÜKSEK, Remziye SIVACI

HASTANEMİZDE UYGULANAN LAPAROSKOPİK OBEZİTE CERRAHİSİ VAKALARININ GERİYE DÖNÜK DEĞERLENDİRİLMESİ

AMAÇ: Bu çalışmada hastanemizde laparoskopik obezite cerrahisi uygulanan hastaların retrospektif olarak değerlendirilmesi amaçlandı.GEREÇ VE YÖNTEM: Şubat 2014 ve Aralık 2018 arasında tek hekim tarafından obezite cerrahisi uygulanan olguların dosyaları incelendi. Demografik özellikler, postoperatif komplikasyonlar, hastane kalış süresi, postoperatif taburculuk, mortalite kaydedildi.BULGULAR: 4 yıllık bir süreçte toplam 89 hasta opere edildi. Hastaların yaş ortalamaları 41±11,44, ortalama beden kitle indeksleri (BKİ) 46,26±6,74 idi. Hastaların 66’sı kadın, 23’ü erkekti ve bunların % 44,9’unda ek hastalık mevcuttu. Hastaların %9’u zor entubasyon (fiberoptik bronkoskop ile entübe edilen)olup %67,4’ü servise çıkarken, %32,6sı yoğun bakıma çıkarılmıştır. Yoğun bakım ihtiyacı BKI 50’nin üzerinde olan hastalarda anlamlı bir şekilde yüksekti (p=0,011). Hastaların %9’unde postoperatif komplikasyon görülürken, %2,2’sinde mortalite görülmüştür. Hastaların cerrahi süre ortalamaları 120,09±68,09 dakika olup hastane kalış süreleri 6,76±4,62 gün idi.SONUÇ: Obezite beraberindeki hastalıklar nedeniyle kronik ilerleyici ve hayatı tehdit eden bir hastalıktır. Literatürle de uyumlu olarak hastaların çoğunluğunun kadın olması ve yaş ortalamaları düşük olmasına rağmen, %44,9’unda ek hastalık olması bunun göstergesidir. Laparoskopik sleeve gastrektomi uygulanacak hastaların perioperatif anestezi ve cerrahi uygulamalarının, hasta sonuçlarının ve komplikasyonların incelenmesinin başarı oranının artırılmasında önemli olacağı kanaatindeyiz.

Anahtar Kelimeler:

laparoskopi, obezite, anestezi

RETROSPECTIVE EVALUATION OF LAPAROSCOPIC OBESITY SURGERY CASES APPLIED IN OUR HOSPITAL

OBJECTIVE: It was aimed to retrospectively investigate the patients undergoing laparoscopic obesity surgery in our hospital in the study.MATERIAL AND METHODS: We analyzed patients' data who underwent laparoscopic obesity surgery by a single surgeon between February 1, 2014, and December 1, 2018. Demographic features, postoperative complications, hospital stay, postoperative discharge, and mortality were recorded.RESULTS: A total of 89 patients, were operated over a 4 - years period. The mean age of the patients was 41 ± 11.44, and the mean Body Mass Indexes (BMI) were 46.26 ± 6.74. Sixty-six of the patients were female and 23 were male and 44.9 % of our patients had an additional disease. Nine percent of the patients had difficult intubation (intubated via fiberoptic bronchoscope), 67.4 % of the patients were sent to the surgery ward, 32.6 % were sent to the intensive care unit. Patients requiring intensive care unit was significantly higher in patients with BMI above 50 (p = 0.011). Nine percent of the patients had at least one postoperative complication whereas mortality was seen in 2.2 % of them. The mean surgery time of the patients was 120.09 ± 68.09 minutes and the mean hospital stay was 6.76 ± 4.62 days.CONCLUSIONS: Obesity is a chronic progressive and life-threatening disease due to the accompanying diseases. In accordance with the literature, although the majority of patients are women and their average age is low, 44.9% of them have an additional disease. We believe that the examination of perioperative anesthesia and surgical practices, patient results, and complications will be important in increasing the success rate of patients undergoing laparoscopic sleeve gastrectomy.

Keywords:

Laparoscopy, Obesity, Anesthesia,

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