精准肥胖代谢外科手术中国专家共识(2022版)

Chinese expert consensus on precision obesity metabolic surgery (2022 edition)

随着肥胖患病率的增加和减重手术的普及,越来越多需要减重手术的肥胖患者接受了减重手术。"精准医学"是新一代的医学理念。将"精准医学"的理念引入到精准肥胖代谢外科手术中,以期在高精度和高效度标准的要求下,将现代外科学理论和技术与传统外科方法综合优化与创新,从而实现最小创伤侵袭、最大脏器保护、最低医疗耗费和最佳减重效果。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(CSMBS)组织国内部分肥胖与代谢外科领域专家,以精准肥胖代谢外科手术中精确术前评估、精准围手术期管理、精细手术操作以及精良术后管理等4个方面的相关问题为导向,围绕36个临床实际问题,在汇总国内外文献证据基础上,结合本国国情和临床经验,制定了《精准肥胖代谢外科手术中国专家共识(2022版)》,旨在为我国精准肥胖代谢外科手术的临床实践提供指导意见。

With the increasing prevalence of obesity and the popularity of bariatric surgery,more and more patients with obesity are undergoing bariatric surgery."Precision Medicine"is a new generation of medical concepts.We introduce the concept of"precision medicine"into precision bariatric and metabolic surgery,in order to optimize and integrate modern surgical theory and technology with traditional surgical methods under the requirements of high precision and high efficiency standards,so as to achieve minimal trauma and invasion,maximal organ protection,minimal medical cost and best weight loss effect.Chinese Society for Metabolic and Bariatric Surgery(CSMBS)organized some domestic bariatric surgery experts to conduct four relevant problem-oriented and 36 clinically practical problems,including precise preoperative assessment,precise perioperative management,precise surgical operation,and precise postoperative management.Based on domestic and foreign literature evidence and combined with Chinese conditions and clinical experience,CSMBS has formulated a Chinese expert consensus on precision obesity metabolic surgery,aiming to provide guidance for the clinical practice of precision obesity metabolic surgery in our country.