腹腔镜袖状胃切除术后再手术策略  

The reoperation strategy after laparoscopic sleeve gastrectomy

作　　者：梁辉[1] Liang Hui(Department of General Surgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院普通外科,南京210029

出　　处：《中华消化外科杂志》2022年第11期1415-1421,共7页Chinese Journal of Digestive Surgery

基　　金：国家重点研发计划(2018YFA0506904‑2)。

摘　　要：目前腹腔镜袖状胃切除术(LSG)已成为全世界开展最多的减重手术,其操作简单、并发症较少,短期减重效果令人满意。然而,随着大规模开展LSG,其不足之处也日益凸显,越来越多的患者因减重不足、复胖以及反流性食管炎等问题需要进行二次手术。笔者结合临床经验,总结现有临床证据,探讨LSG后再手术策略。At present,laparoscopic sleeve gastrectomy(LSG)has become the most popular bariatric surgery worldwide.LSG is simple to operate,with few complications and favorable shortterm weight loss results.However,with massive LSG performed,its disadvantages have become increasingly prominent.More and more patients require revisional surgery due to insufficient weight loss,weight regain and reflux esophagitis.Based on clinical experience and existing clinical evidence,the author reviews the reoperation strategies after LSG.

关 键 词：肥胖症 袖状胃切除术 修正手术 复胖 减重不足 并发症 腹腔镜检查 

分 类 号：R656.61[医药卫生—外科学]