腹腔镜胃袖状切除术后修正的概述与思考  

Overviews and reflections of laparoscopic sleeve gastrectomy revison

作　　者：杨珵璨 马帅[1] 王兵[1] Yang Chengcan;Ma Shuai;Wang Bing(Department of Surgery,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院普外科,上海200011

出　　处：《腹部外科》2023年第5期334-337,342,共5页Journal of Abdominal Surgery

基　　金：国家自然科学基金面上项目(82070917);上海申康医院发展中心三年行动计划(SHDC2020CR1017B);上海交通大学医学院附属第九人民医院临床研究助推计划(JYLJ202224)。

摘　　要：腹腔镜胃袖状切除术(laparoscopic sleeve gastrectomy,LSG)是目前国内外开展最广泛的减重手术术式。随着手术的开展,术后复胖等各种原因造成的修正手术比例也逐年增加,如何个体化选择合适的修正术式并规范地开展修正手术是目前减重外科面临的热点问题之一。此文结合文献和作者临床经验就LSG术后修正手术的原因、术式选择等问题展开概述,为修正手术的规范化开展提供思路。Laparoscopic sleeve gastrectomy(LSG)is one of the most widely performed bariatric operations.With constant technical refining,the proportion of revisional operations due to various causes is rapidly rising.Selecting appropriate and individualized revisional procedures is becoming one of hot issues.Based upon literature and clinical experiences,this review summarized the causes for revisional operations after LSG and the criteria for selecting proper approaches.It was intended to offer rationales for standardizing revisional operations.

关 键 词：腹腔镜胃袖状切除术 修正手术 病态肥胖 

分 类 号：R656.6[医药卫生—外科学]