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目的 报告成功实施腹腔镜迷你胃旁路术治疗单纯性肥胖并2型糖尿病病人1例。方法 第二军医大学附属长海医院微创外科于2007年11月对1例伴有2型糖尿病的单纯性肥胖症病人行腹腔镜迷你胃旁路术。结果 病人手术顺利，手术时间135min，术中出血20mL。术后30d内无手术并发症，随访30d，体重下降15kg，体重指数（BMI）减少4．9。术后第8天停用一切降糖药物，各项糖尿病检查指标均正常。结论 腹腔镜迷你胃旁路术是相对安全、简单的术式，近期减重效果良好，对2型糖尿病具有很好的治疗效果。

Laparoscopic mini-gastric bypass for the treatment of morbid obesity

??Objective:To investigate the preliminary experience and clinical effect of laparoscopic mini??gastric bypass in the treatment of morbid obesity. Methods:Laparoscopic mini??gastric bypass was performed for a patient with morbid obesity accompanied with type 2 diabetes mellitus in November 2007 in the Minimally Invasive Srugery Center of Changhai Hospital of Second Military Medical University. Results:The operation was successfully performed without any complications.The operation time was 135 min,and 20 mL blood was lost.After 30 days,the patient’s body weight reduced by 15 kg and BMI decreased 4.9kg/m??2.Diabetes indicators returned to normal in the 8th postoperative day without any medication. Conclusion:Laparoscopic mini??gastric bypass is a relatively safe and simple procedure.The short??term effects for weight reducing are optimal,and the procedure has good therapeutic effect on type 2 diabetes mellitus.