减重代谢手术方式的改进与发展方向  

Improvement and development direction of bariatric metabolic surgery

作　　者：刘金钢[1] 胡敬尧 陈孚 Liu Jingang;Hu Jingyao;Chen Fu(Department of General Surgery,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032,China)

机构地区：[1]中国医科大学第四医院普通外科,沈阳110032

出　　处：《中华消化外科杂志》2023年第1期94-99,共6页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金 (82200971)。

摘　　要：减重代谢外科在半个多世纪的发展中形成多种经典手术方式,但始终未曾停止改进和创新步伐。新旧手术方式的临床应用与发展更替,反映出减重代谢领域的活力与前进,也促进减重代谢外科向获益与风险的最佳平衡发展。早期阶段,代谢外科的研究更倾向于证实经典手术方式的有效性、安全性以及探寻其作用机制。近年来,全世界的代谢外科医师则更注重新手术方式的探索与创新,其中对胆胰转流十二指肠转位术的改进和胃袖状切除的附加手术逐渐成为目前手术方式的创新热点。然而,新手术方式种类繁多、形式分散且部分重叠,故笔者对此作一述评,以期助益临床与科学研究。In more than half a century of the development of bariatric metabolic surgery,a variety of classic surgical methods have been formulated.However,the improvement and innovation of bariatric metabolic surgery has never stopped.The replacement of new and old surgical methods in clinical application and development reflects the vitality and progress in the field of bariatric metabolic surgery,and also promotes the development of bariatric metabolic surgery to the best balance between benefits and risks.In the early stages,studies in metabolic surgery are more inclined to confirm the efficacy,safety and mechanism of classical procedures.In recent years,metabolic surgeons around the world have become more inclined to focus on the exploration and innovation of new procedures.In addition,the improvement of biliopancreatic diversion with duodenal switch and the sleeve gastrectomy plus procedures have gradually become hot spots for surgical innovation.However,the new techniques are diverse,scattered and partially overlapping.The authors make a comment on this content,in order to provide assistance to clinical and scientific research.

关 键 词：肥胖症 代谢疾病 减重代谢外科 减重手术 胃旁路手术 胃袖状切除附加手术 

分 类 号：R656.61[医药卫生—外科学]