相关实验视频
Updated: Jun 22, 2025

04:14
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
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修订性腹手术的决策考虑因素
Sheena Chen1, Jessica Chiang1, Omar Ghanem2
1Department of General Surgery, New York University Langone Health, Brooklyn, NY.
概括
修订性减肥手术的方法有很大差异. 修复性减肥手术的最佳策略取决于患者的个性.
科学领域:
- 腹部外科 腹部外科
- 手术修复手术修复
- 肥胖管理 肥胖管理
背景情况:
- 在减肥手术实践中存在显著的变化.
- 缺乏共识阻碍了对最佳修订性减肥手术方法的标准化.
研究的目的:
- 巩固现有关于修订性减肥手术的文献.
- 为各种指数减肥手术提供专门的修订建议.
主要方法:
- 关于减肥手术研究的综合文献综述.
- 对调节性胃带 (AGB),袖子胃切除术 (SG),Roux-en-Y胃绕道术 (RYGB),双胞胎切换 (BPD-DS) 的胆胰腺转移,袖子 (SADI-S) 的单次解剖十二节-节绕道,单次解剖胃绕道术 (OAGB) 和垂直带式胃整形术 (VBG) 的修订策略的分析.
主要成果:
- 可调节的胃带 (AGB) 显示高体重复发,可选择转换为RYGB,SG或BPD-DS.
- 修复袖子胃切除术 (SG) 可能涉及重新修复袖子或转换为RYGB.
- 鲁克斯-en-Y胃绕道 (RYGB) 修订可以包括鲁克斯四肢脱节,袋子大小调整或转换为BPD-DS.
- 仅有有限的数据存在于一次性解剖后的修复性手术中,用袖子 (SADI-S) 进行十二指甲-叶绕道.
- 一个解剖肠胃绕道 (OAGB) 和垂直带胃形成术 (VBG) 的修订通常涉及到转换到RYGB.
结论:
- 修订性减肥手术越来越普遍.
- 理想的手术方法取决于患者的具体症状和先前存在的解剖学.
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