Chung Ann Y, Thompson Richard, Overby D Wayne, Duke Meredith C, Farrell Timothy M
Department of Surgery, University of North Carolina-Chapel Hill , Chapel Hill, North Carolina.
J Laparoendosc Adv Surg Tech A. 2018 Aug;28(8):930-937. doi: 10.1089/lap.2018.0392. Epub 2018 Jul 13.
The vertical sleeve gastrectomy is a bariatric procedure that was originally described as the initial step in the biliopancreatic diversion. It demonstrated effectiveness in weight loss as a single procedure, and the laparoscopic vertical sleeve gastrectomy, as a stand-alone procedure, is now the most commonly performed bariatric surgery worldwide. Due to its relative technical ease and long-term data that have established its durability in treating obesity and its related comorbid conditions, the sleeve gastrectomy has grown in popularity among patients and surgeons. While there are variations in the technical aspects of performing a laparoscopic sleeve gastrectomy, key steps must be undertaken to produce safe and effective outcomes. This article reviews the indications for bariatric surgery, patient selection, surgical technique and tips, perioperative care and complications after sleeve gastrectomy.
垂直袖状胃切除术是一种减肥手术，最初被描述为胆胰转流术的初始步骤。它作为一种单一手术在减肥方面显示出有效性，而腹腔镜垂直袖状胃切除术作为一种独立手术，目前是全球最常施行的减肥手术。由于其相对容易操作的技术以及已证实其在治疗肥胖及其相关合并症方面具有持久性的长期数据，袖状胃切除术在患者和外科医生中越来越受欢迎。虽然在进行腹腔镜袖状胃切除术的技术方面存在差异，但必须采取关键步骤以产生安全有效的结果。本文回顾了减肥手术的适应证、患者选择、手术技术与技巧、围手术期护理以及袖状胃切除术后的并发症。
