减重手术平台选择的策略及思考

Strategies and thoughts on selection of bariatric surgery

通过大样本量的长期随访,减重手术已被全世界广泛接受并公认其可取得长期而有效的减重效果。历经近70年的发展,减重手术已由单一开腹手术发展为腹腔镜手术。目前新技术层出不穷,腹腔镜技术并不是一枝独秀,机器人手术系统、内镜技术的发展将减重代谢外科推向新时代。减重手术随着科技进步继续革新。目前腹腔镜技术仍为减重代谢外科的主体平台,机器人减重手术会随着机器人手术系统价格的降低和国产机器人手术系统的问世而被更多外科医师接受,内镜手术可能因效果好、创伤小、并发症少而成为未来减重代谢外科发展的趋势。

Bariatric surgery has been widely accepted around the world and recognized for long-term and effective weight loss, based on long-term follow-up of large sample sizes. Though more than 70 years of development, bariatric surgery is not only on open technique, it is usually done by laparoscopy. But with the advance of the new technology, laparoscopy is no longer a unique technique. With the development of new robotic system and endoscopic system, bariatric and metabolic surgery has come to a new era. There is no doubt that bariatric surgery is still on the change as the development of scientific technology. Laparoscopic technique is still the mainstream of bariatric and metabolic surgery. With the decrease in the price of robotic system and the appearance of domestic robotic system, the robotic technique will also be accepted by many surgeons. The endoscopic technique is a tendency for bariatric and metabolic surgery because of effective weight loss, small trauma and low complication rates.