中国腹腔镜减重代谢外科20年研究文献分析

Literature analysis of laparoscopic bariatric and metabolic surgery in China in the past 20 years

中国腹腔镜减重代谢外科始于2000年,历经20年的发展,实现了从无到有再到飞速发展的转变。笔者就中国20年来发表减重代谢相关研究的文献数量、机构来源、发表期刊、文献类型、关键词等方面进行分析,其结果显示:文献数量总体呈增长趋势,减重手术实现了以胃旁路术和胃束带术为主导向以胃旁路术和袖状胃切除术为主导的转变,修正手术和肠道菌群是近年研究和关注的热点。但中国腹腔镜减重代谢外科发展仍处于初级阶段,缺乏多中心前瞻性随机对照研究等高级别循证医学证据。因而,该领域未来应开展更多大样本量、多中心、随机对照研究,制订适合中国人群的指南。笔者建议:建立国家级数据,注册登记临床数据库,基于数据库进行更深层次的研究,同时加强临床研究与基础研究的结合,促进我国减重代谢外科的进一步发展。

Laparoscopic bariatric and metabolic surgery in China began in 2000.After 20 years of development,it has realized the transformation from nothing to existence and then to rapid development.In this paper,the number of Chinese and English literatures on weight loss and metabolism published in China in the past 20 years,the source of literature institutions,published journals,literature types,key words and other aspects are analyzed.The results show as follows:the number of published literatures is generally increasing,bariatric surgery has changed from gastric bypass and gastric banding to gastric bypass and sleeve gastrectomy,revisional surgery and intestinal flora have been the focus of research in recent years.However,the development of laparoscopic bariatric surgery in China is still in its infancy,and there is few high⁃level evidence⁃based multicenter prospective randomized controlled study.Therefore,the authors suggest that more and larger sample,multicenter,randomized controlled studies should be carried out in the future and it requires to develop guidelines suitable for Chinese population.In order to promote the further development of bariatric and metabolic surgery in China,we should establish national data and register clinical data,strergthon the combination of clinical research and basic research and conduct deeper research based on the database.