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腹腔镜下Roux-en-Y胃旁路术:从术式发展到精准规范

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腹腔镜下 Roux-en-Y 胃旁路术(laparoscopic Roux-en-Y gastric bypass,LRYGB)在 20 世纪 90 年代被美国国立卫生研究院共识推荐为减重代谢外科的"金标准"术式并沿用至今.大量循证医学证据表明,LRYGB能够长期稳定有效地控制体重和治疗肥胖相关代谢疾病.该术式经过了半个多世纪的不断自我更新和发展,精准、规范的操作对于保证治疗效果和降低手术并发症发生率有着极为重要的意义.笔者对LRYGB的术式发展历程进行了回顾,进一步了解及强调对其规范操作的重要性.
Laparoscopic Roux-en-Y gastric bypass:from history to precise and specification
Laparoscopic Roux-en-Y gastric bypass(LRYGB)was recommended as the gold standard procedure for metabolic and bariatric surgery by the National Institutes of Health in the 1990s and then had been adopted till now,which could effectively control excess weight and treat metabolic diseases relevant to obesity in a long term.The current LRYGB procedure had been performed more than half a century of development and update,and is still constantly evolving.Standardized and precise surgical procedures are of great significance in ensuring treatment effect and reducing the incidence of complications.Thus,the author reviewed the development process of LRYGB,further understanding and emphasizing the importance of standardized and precise surgical procedures.

Roux-en-Y gastric bypassobesitymetabolic diseaseshistoryprecisionspecificationmetabolic and bariatric surgery

杨珵璨、王文越、马帅、朱冬梓、戴谦诚、王兵

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上海交通大学医学院附属第九人民医院普外一科(上海 200011)

Roux-en-Y胃旁路术 肥胖 代谢疾病 历史 精准 规范 减重代谢手术

国家自然科学基金面上项目上海申康医院促进市级医院临床技术与临床创新能力三年行动计划—重大疾病多中心临床研究项目上海交通大学医学院附属第九人民医院临床研究助推计划—面上项目

82070917SHDC2020CR1017B-003JYLJ202224

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(4)
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