腹腔镜减重与代谢外科治疗现状与发展  

The Current Status and Future Development of Laparoscopic Metabolic and Bariatric Surgery

作　　者：张忠涛[1] 张鹏[1] Zhang Zhongtao;Zhang Peng(Department of General Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院普外科中心,北京100050

出　　处：《中华普外科手术学杂志（电子版）》2020年第2期109-112,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家科技支撑计划课题项目(2015BA13B09);国家重点研发计划项目(2017YFC0110904)。

摘　　要：减重与代谢外科从最初的以减重为唯一目的,发展到治疗肥胖相关的糖、脂代谢和内分泌紊乱,手术适应证不断拓展,治疗范围涵盖2型糖尿病、非酒精性脂肪性肝病、睡眠呼吸暂停综合征等,手术所要求的身体质量指数不断调低。学科内涵不断丰富,对经典手术方式包括Roux-en-Y胃旁路术、胃袖状切除术、可调节胃绑带术和胆胰分流并十二指肠转位术的认识不断加深,在此基础上,新的手术方式不断涌现,包括袖状胃加单吻合口十二指肠转位手术和单吻合口胃旁路手术等。同时,减重外科未来也面临减重器械和胃镜下治疗的挑战。Metabolic and bariatric surgery has developed from the original purpose solely for weight reduction to the treatment of obesity related glucose, lipid metabolism and endocrine disorders. The indications for the surgery are constantly expanding, and the treatment scope covers type 2 diabetes, non-alcoholic fatty liver disease, sleep apnea syndrome, and so on. In addition, the body mass index requirement for eligibility of the surgery has been constantly reduced. At the same time, the connotation is constantly being enriched along with profound understanding of conventional surgical procedures including Roux-en-Y gastric bypass, sleeve gastrectomy, adjustable gastric banding, as well as biliopancreatic diversion with duodenal switch surgery and one anastomosis gastric bypass surgery. However, the future of metabolic and bariatric surgery also faces the challenges of weight-loss surgical devices and endoscopic treatment innovations.

关 键 词：减重与代谢外科 手术适应证 手术方式 减重器械 

分 类 号：R656.6[医药卫生—外科学]