中国对称三孔法腹腔镜Roux-en-Y胃旁路术规范化手术操作指南(2023版)  

Chinese standardized surgical guideline for symmetric three-port laparoscopic Roux-en-Y gastric bypass(2023 edition)

作　　者：中国人体健康科技促进会肥胖糖尿病主动健康专业委员会 周彪 董星 汪天时 胡扬喜 丁印鲁[4] 孟化 Obesity and Diabetes Active Health Professional Committee of China Association for Promotion of Health Science and Technology;HU Yangxi;DING Yinlu;MENG Hua

机构地区：[1]不详 [2]中日友好医院 [3]郑州大学附属郑州中心医院 [4]山东大学第二医院

出　　处：《华西医学》2023年第12期1792-1800,共9页West China Medical Journal

基　　金：北京市研究型病房建设临床研究项目(2022-YJXBF-03-02);中日友好医院高水平医院院级课题(2023-NHLHCRF-YYPP-TS-02);中日友好医院人才引进项目(2018-RC-1)。

摘　　要：大量循证医学证据表明腹腔镜Roux-en-Y胃旁路术(laparoscopic Roux-en-Y gastric bypass,LRYGB)是一种持久有效的治疗肥胖和糖尿病的方法,且能显著改善一系列肥胖相关代谢合并症。该指南详细描述了对称三孔法LRYGB的主要操作步骤及技术要点,包括体位布局、trocar位置选择、肝脏悬吊、纱布暴露、制作小胃囊、胃-空肠吻合及制作胆胰支、小肠-小肠侧侧吻合、关闭胃肠吻合口和系膜裂孔、大网膜覆盖及关闭切口,旨在规范对称三孔法LRYGB的操作流程,为肥胖代谢外科领域的临床医生提供规范化手术操作参考。A lot of evidence-based medical evidence has shown that laparoscopic Roux-en-Y gastric bypass(LRYGB)is a durable and effective method for obesity and diabetes,and can significantly improve a series of obesity-related metabolic complications.This guideline provides a detailed description of the main operating steps and technical points of the symmetric three-port LRYGB,including posture layout,trocar position selection,liver suspension,gauze exposure,production of small gastric sacs,gastrojejunal anastomosis and production of biliary pancreatic branches,entero-enteric side to side anastomosis,closure of gastrointestinal anastomosis and mesenteric hiatus,greater omentum coverage,and closure of incisions.The purpose is to standardize the operating process of the symmetrical three hole method of LRYGB,providing standardized surgical operation references for clinical doctors in the field of obesity metabolic surgery.

关 键 词：对称三孔法腹腔镜Roux-en-Y胃旁路术 肥胖症 2型糖尿病 手术操作 指南 

分 类 号：R656.61[医药卫生—外科学]