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腹腔镜胃袖状切除术后胃漏诊断、预防及处理中国专家共识(2021版) 被引量:10

Chinese expert Consensus on diagnosis,prevention and management of gastric leakage after laparoscopic sleeve gastrectomy(2021 edition)
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摘要 腹腔镜胃袖状切除术(laparoscopic sleeve gastrectomy,LSG)是目前最常用的减重术式之一。2018年美国减重与代谢外科学会(ASMBS)统计数据显示,在所有减重手术中,LSG位居首位,约占61.4%[1];2019年我国大华北减重与代谢手术临床资料数据库(NC-BMD)统计LSG的开展比例81.6%[2]。LSG手术流程相对简单,减重、降糖效果确切,术后并发症发生率较低,病人接受度高。随着减重代谢手术的发展,LSG相关手术并发症的报道也逐渐增多,其中胃漏是LSG最严重的并发症。
作者 中华医学会外科学分会甲状腺及代谢外科学组 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会 中国医疗保健国际交流促进会代谢外科学分会 国家卫生健康委能力建设和继续教育外科学专家委员会减重与代谢外科专业委员会 中国康复医学会减重与代谢康复专业委员会 刘金钢 张忠涛 王存川 朱晒红 王勇 张鹏 刘少壮 顾岩 Thyroid and Metabolic Surgery Group,Chinese Society of Surgery,Chinese Medical Association;Obesity and Diabetes Department of Chinese College of Surgeons,Chinese Medical Doctor Association;Metabolic Surgery Branch of China International Exchange and Promotive Association for Medical and Health Care;Chinese College of Metabolic and Bariatric Surgeons,Affiliation of National Health Commission Capacity Building and Continuing Education Center;Professional Committee of Weight Loss and Metabolic Rehabilitation of Chinese Association of Rehabilitation Medicine;ZHANG Zhong-tao;LIU Jin-gang;WANG Cun-chuan
机构地区 不详
出处 《中国实用外科杂志》 CAS CSCD 北大核心 2021年第6期633-638,共6页 Chinese Journal of Practical Surgery
关键词 腹腔镜胃袖状切除术 胃漏 肥胖 并发症 laparoscopic sleeve gastrectomy gastric leak obesity complications
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  • 1Jorge Avalos-González,Eliseo Portilla-deBuen,Caridad Aurea Leal-Cortés,Abel Orozco-Mosqueda,María del Carmen Estrada-Aguilar,Gabriela Abigail Velázquez-Ramírez,Gabriela Ambriz-González,Clotilde Fuentes-Orozco,Aldo Emmerson Guzmán-Gurrola,Alejandro González-Ojeda.Reduction of the closure time of postoperative enterocutaneous fistulas with fibrin sealant[J].World Journal of Gastroenterology,2010,16(22):2793-2800. 被引量:10
  • 2Noriko Nishiyama,Hirohito Mori,Hideki Kobara,Kazi Rafiq,Shintarou Fujihara,Mitsuyoshi Kobayashi,Makoto Oryu,Tsutomu Masaki.Efficacy and safety of over-the-scope clip: Including complications after endoscopic submucosal dissection[J].World Journal of Gastroenterology,2013,19(18):2752-2760. 被引量:43
  • 3任建安,黎介寿.重视肠瘘的早期诊断与快速治疗[J].中华胃肠外科杂志,2006,9(4):279-280. 被引量:74
  • 4刘金钢,田忠,杨福全,孟相真,刘源,乔麟,赵海鹰,李航宇,王晟.腹腔镜袖状胃切除术治疗单纯性肥胖症1例报告[J].中国实用外科杂志,2007,27(6):481-482. 被引量:29
  • 5Burgos AM, Braghetto I, Csendes A, et al. Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obes Surg, 2009, 19 (12) : 1672-1677.
  • 6Melissas J, Koukouraki S, Askoxylakis J, et al. Sleeve gastrectomy: a restrictive procedure? Obes Surg, 2007, 17 (1) : 57-62.
  • 7Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc, 2012, 26 (6) : 1509-1515.
  • 8Sakran N, Goitein D, Raziel A, et al. Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients. SurgEndosc, 2013, 27 (1):240-245.
  • 9Rosenthal RJ. lntemational sleeve gastrectomy expert panel consensus statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis, 2012, 8(1):8-19.
  • 10Casella G, SoriceUi E, Rizzello M, et al. Nonsurgical Treatment of Staple Line Leaks after Laparoscopic Sleeve Gastrectomy. Obes Surg, 2009, 19 (7) : 821-826.

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