摘要
目前腹腔镜袖状胃切除术(LSG)已成为全世界开展最多的减重手术,其操作简单、并发症较少,短期减重效果令人满意。然而,随着大规模开展LSG,其不足之处也日益凸显,越来越多的患者因减重不足、复胖以及反流性食管炎等问题需要进行二次手术。笔者结合临床经验,总结现有临床证据,探讨LSG后再手术策略。
At present,laparoscopic sleeve gastrectomy(LSG)has become the most popular bariatric surgery worldwide.LSG is simple to operate,with few complications and favorable shortterm weight loss results.However,with massive LSG performed,its disadvantages have become increasingly prominent.More and more patients require revisional surgery due to insufficient weight loss,weight regain and reflux esophagitis.Based on clinical experience and existing clinical evidence,the author reviews the reoperation strategies after LSG.
作者
梁辉
Liang Hui(Department of General Surgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2022年第11期1415-1421,共7页
Chinese Journal of Digestive Surgery
基金
国家重点研发计划(2018YFA0506904‑2)。
关键词
肥胖症
袖状胃切除术
修正手术
复胖
减重不足
并发症
腹腔镜检查
Obesity
Sleeve gastrectomy
Revision surgery
Weight regain
Insufficient weight loss
Complications
Laparoscopy
