代谢和腹部外科手术的未来前景:综合性审查
Karl Hage1, Gerardo Perrotta2, Richard S Betancourt1
1Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Healthcare (Basel, Switzerland)
|September 14, 2024
概括
代谢和减肥手术 (MBS) 是对肥胖和相关疾病的安全有效治疗方法. 持续的创新和仔细的患者评估是优化这一不断扩大的外科领域结果的关键.
科学领域:
- 手术创新和患者在肥胖管理中的成果.
背景情况:
- 代谢和减肥手术 (MBS) 是一个快速发展的领域,具有不断发展的技术和应用.
- MBS适用于各种患者群体,包括那些有不同的BMI和并发症的人.
研究的目的:
- 审查目前的代谢和减肥手术的结果和安全概况.
- 探索成功的MBS的未来方向和基本组成部分.
主要方法:
- 对回顾性队列研究,元分析,系统评论和文献评论进行全面的文献综述.
- 搜索了包括PubMed,ScienceDirect和Springer Link在内的数据库,从创立到2024年.
主要成果:
- MBS表现出良好的安全性,死亡率低 (0.03-0.2%) 和并发症率低 (0.4-1%).
- MBS的安全性延伸到患有复杂疾病的患者,如2型糖尿病,免疫抑制和末端器官衰竭.
- 短期,中期和长期的结果证实MBS是肥胖的有效治疗选择.
结论:
- 未来的MBS涉及持续的创新,技术的整合,以及适应的肥胖管理策略.
- 彻底的手术前评估和多学科方法对于最大限度地提高患者满意度和手术成功至关重要.
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