Department of Surgery, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA.
Surg Obes Relat Dis. 2012 Jan-Feb;8(1):8-19. doi: 10.1016/j.soard.2011.10.019. Epub 2011 Nov 10.
Laparoscopic sleeve gastrectomy (LSG) is an emerging surgical approach, but 1 that has seen a surge in popularity because of its perceived technical simplicity, feasibility, and good outcomes. An international expert panel was convened in Coral Gables, Florida on March 25 and 26, 2011, with the purpose of providing best practice guidelines through consensus regarding the performance of LSG. The panel comprised 24 centers and represented 11 countries, spanning all major regions of the world and all 6 populated continents, with a collective experience of >12,000 cases. It was thought prudent to hold an expert consensus meeting of some of the surgeons across the globe who have performed the largest volume of cases to discuss and provide consensus on the indications, contraindications, and procedural aspects of LSG. The panel undertook this consensus effort to help the surgical community improve the efficacy, lower the complication rates, and move toward adoption of standardized techniques and measures. The meeting took place at on-site meeting facilities, Biltmore Hotel, Coral Gables, Florida.
Expert panelists were invited to participate according to their publications, knowledge and experience, and identification as surgeons who had performed >500 cases. The topics for consensus encompassed patient selection, contraindications, surgical technique, and the prevention and management of complications. The responses were calculated and defined as achieving consensus (≥70% agreement) or no consensus (<70% agreement).
Full consensus was obtained for the essential aspects of the indications and contraindications, surgical technique, management, and prevention of complications. Consensus was achieved for 69 key questions.
The present consensus report represents the best practice guidelines for the performance of LSG, with recommendations in the 3 aforementioned areas. This report and its findings support a first effort toward the standardization of techniques and adoption of working recommendations formulated according to expert experience.
腹腔镜袖状胃切除术（LSG）是一种新兴的手术方法，但由于其技术简单、可行性好、效果好，因此越来越受欢迎。一个国际专家小组于 2011 年 3 月 25 日至 26 日在佛罗里达州科勒尔盖布尔斯举行会议，目的是通过共识提供最佳实践指南，以确定 LSG 的执行情况。该小组由 24 个中心组成，代表 11 个国家，涵盖世界所有主要地区和所有 6 个人口大洲，具有 >12000 例的集体经验。认为谨慎的做法是，召集全球一些完成了最大数量手术的外科医生举行专家共识会议，讨论并就 LSG 的适应症、禁忌症和程序方面达成共识。该小组进行了这一共识努力，以帮助外科医生提高手术的疗效，降低并发症发生率，并朝着采用标准化技术和措施的方向发展。会议在佛罗里达州科勒尔盖布尔斯比尔特莫尔酒店的现场会议设施举行。
根据他们的出版物、知识和经验，以及被确定为完成 >500 例手术的外科医生，邀请专家小组成员参加。共识主题包括患者选择、禁忌症、手术技术以及并发症的预防和管理。根据达成共识（≥70%的一致性）或未达成共识（<70%的一致性）来计算和定义回答。
在适应症和禁忌症、手术技术、管理和并发症预防的基本方面达成了完全共识。达成了 69 个关键问题的共识。
本共识报告代表了执行 LSG 的最佳实践指南，在上述 3 个领域提出了建议。本报告及其调查结果支持了朝着技术标准化和采用根据专家经验制定的工作建议的首次努力。
