微创手术助推肥胖与代谢性疾病的外科治疗

doi:10.16139/j.1007-9610.2023.03.007

摘要/Abstract

摘要：

肥胖与代谢性疾病的发病率与社会负担日益加剧，包括手术治疗在内的多学科综合诊治可以有效改善病情。随着微创手术技术与理念的不断发展与更新，目前，传统的经腹开放减重手术已被腹腔镜手术取代，而4K高清腹腔镜、单孔减重手术、机器人辅助手术、内镜减重手术等新技术不断涌现，进一步助力肥胖与代谢性疾病得到安全、有效、个体化的治疗。

关键词: 微创手术, 肥胖, 代谢性疾病

Abstract:

The prevalence and social burden of obesity and metabolic diseases are increasing. Multidisciplinary diagnosis and treatment, including surgical treatment, can effectively improve the condition of obesity and metabolic diseases. With the developing and updating of minimally invasive surgical techniques and concepts, traditional open transabdominal bariatric surgery has been replaced by laparoscopic surgery. The emergence of new technologies such as 4K high-definition laparoscopy, single-port bariatric surgery, robot-assisted surgery, and endoscopic bariatric surgery has further contributed to the safe, effective, and individualized treatment of obesity and metabolic diseases.

Key words: Minimally invasive surgery, Obesity, Metabolic diseases

中图分类号:

R656.61

黄先觉, 姚琪远. 微创手术助推肥胖与代谢性疾病的外科治疗[J]. 外科理论与实践, 2023, 28(03): 215-219.

HUANG Xianjue, YAO Qiyuan. Minimally invasive surgery facilitates surgical treatment of obesity and metabolic diseases[J]. Journal of Surgery Concepts & Practice, 2023, 28(03): 215-219.

参考文献 44

[1]	BRAY G A, KIM K K, WILDING J P H, et al. Obesity: a chronic relapsing progressive disease process. A position statement of the World Obesity Federation[J]. Obes Rev, 2017, 18(7):715-723. doi: 10.1111/obr.12551 URL
[2]	GBD 2015 OBESITY COLLABORATORS. Health effects of overweight and obesity in 195 countries over 25 years[J]. N Engl J Med,2017, 377(1):13-27. doi: 10.1056/NEJMoa1614362 URL
[3]	ZENG Q, LI N, PAN X F, et al. Clinical management and treatment of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9(6):393-405. doi: 10.1016/S2213-8587(21)00047-4 URL
[4]	YUMUK V, TSIGOS C, FRIED M, et al. European guidelines for obesity management in adults[J]. Obes Facts, 2015, 8(6):402-424. doi: 10.1159/000442721 URL
[5]	SABER A A, ELGAMAL M H, MCLEOD M K. Bariatric surgery: the past, present, and future[J]. Obes Surg, 2008, 18(1):121-128. doi: 10.1007/s11695-007-9308-7 URL
[6]	BUCHWALD H. Overview of bariatric surgery[J]. J Am Coll Surg, 2002, 194(3):367-375. doi: 10.1016/S1072-7515(01)01175-9 URL
[7]	SCOPINARO N, GIANETTA E, CIVALLERI D, et al. Bilio-pancreatic bypass for obesity: Ⅱ. Initial experience in man[J]. Br J Surg, 1979, 66(9):618-620. doi: 10.1002/bjs.1800660906 URL
[8]	MASON E E. Gastric surgery for morbid obesity[J]. Surg Clin North Am, 1992, 72(2):501-513. doi: 10.1016/S0039-6109(16)45692-6 URL
[9]	TRETBAR L L, TAYLOR T L, SIFERS E C. Weight reduction. Gastric plication for morbid obesity[J]. J Kans Med Soc, 1976, 77(11):488-490.
[10]	POLYCHRONIDIS A, LAFTSIDIS P, BOUNOVAS A, et al. Twenty years of laparoscopic cholecystectomy: Philippe Mouret--March 17, 1987[J]. JSLS, 2008, 12(1):109-111.
[11]	MOURET P. How I developed laparoscopic cholecystectomy[J]. Ann Acad Med Singap, 1996, 25(5):744-747.
[12]	CUSCHIERI A, BERCI G, MCSHERRY C K. Laparoscopic cholecystectomy[J]. Am J Surg, 1990, 159(3):273. doi: 10.1016/S0002-9610(05)81214-0 URL
[13]	UNGER S W, UNGER H M, EDELMAN D S, et al. Obesity: an indication rather than contraindication to laparoscopic cholecystectomy[J]. Obes Surg, 1992, 2(1):29-31. doi: 10.1381/096089292765560501 URL
[14]	WITTGROVE A C, CLARK G W. Laparoscopic gastric bypass, Roux-en-Y- 500 patients: technique and results, with 3-60 month follow-up[J]. Obes Surg, 2000, 10(3):233-239. doi: 10.1381/096089200321643511 URL
[15]	CATONA A, GOSSENBERG M, LA MANNA A, et al. Laparoscopic gastric banding: preliminary series[J]. Obes Surg, 1993, 3(2):207-209. doi: 10.1381/096089293765559610 URL
[16]	BELACHEW M, BELVA P H, DESAIVE C. Long-term results of laparoscopic adjustable gastric banding for the treatment of morbid obesity[J]. Obes Surg, 2002, 12(4):564-568. doi: 10.1381/096089202762252352 URL
[17]	MARCEAU P, BIRON S, BOURQUE R A, et al. Biliopancreatic diversion with a new type of gastrectomy[J]. Obes Surg, 1993, 3(1):29-35. doi: 10.1381/096089293765559728 URL
[18]	LANGER F B, BOHDJALIAN A, FELBERBAUER F X, et al. Does gastric dilatation limit the success of sleeve gastrectomy as a sole operation for morbid obesity?[J]. Obes Surg, 2006, 16(2):166-171. doi: 10.1381/096089206775565276 URL
[19]	GAGNER M, ROGULA T. Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancrea-tic diversion with duodenal switch[J]. Obes Surg, 2003, 13(4):649-654. doi: 10.1381/096089203322190907 URL
[20]	WELLER W E, ROSATI C. Comparing outcomes of laparoscopic versus open bariatric surgery[J]. Ann Surg, 2008, 248(1):10-15. doi: 10.1097/SLA.0b013e31816d953a URL
[21]	AL-MAZROU A M, BELLORIN O, DHAR V, et al. Minimally invasive versus open duodenal switch: a nationwide retrospective analysis[J]. Surg Endosc, 2022, 36(9):7000-7007. doi: 10.1007/s00464-022-09020-4
[22]	NGUYEN N T, GOLDMAN C, ROSENQUIST C J, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs[J]. Ann Surg, 2001, 234(3):279-289. doi: 10.1097/00000658-200109000-00002 URL
[23]	RAUSA E, BONAVINA L, ASTI E, et al. Rate of death and complications in laparoscopic and open Roux-en-Y gastric bypass. A meta-analysis and meta-regression analysis on 69,494 patients[J]. Obes Surg, 2016, 26(8):1956-1963. doi: 10.1007/s11695-016-2231-z URL
[24]	BIANCHI A, PAGAN-POMAR A, JIMENEZ-SEGOVIA M, et al. Long-term comparative study on open versus laparoscopic biliopancreatic diversion[J]. Surg Endosc, 2022, 36(2):1164-1171. doi: 10.1007/s00464-021-08383-4
[25]	BUCHWALD H, WILLIAMS S E. Bariatric surgery worldwide 2003[J]. Obes Surg, 2004, 14(9):1157-1164. doi: 10.1381/0960892042387057 URL
[26]	BUCHWALD H, OIEN D M. Metabolic/bariatric surgery worldwide 2008[J]. Obes Surg, 2009, 19(12):1605-1611. doi: 10.1007/s11695-009-0014-5 URL
[27]	ANGRISANI L, SANTONICOLA A, IOVINO P, et al. Bariatric surgery worldwide 2013[J]. Obes Surg, 2015, 25(10):1822-1832. doi: 10.1007/s11695-015-1657-z URL
[28]	WELBOURN R, HOLLYMAN M, KINSMAN R, et al. Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the fourth IFSO global registry report 2018[J]. Obes Surg, 2019, 29(3):782-795. doi: 10.1007/s11695-018-3593-1
[29]	CURRÒ G, LA MALFA G, CAIZZONE A, et al. Three-dimensional (3D) versus two-dimensional (2D) laparoscopic bariatric surgery: a single-surgeon prospective randomized comparative study[J]. Obes Surg, 2015, 25(11):2120-2124. doi: 10.1007/s11695-015-1674-y URL
[30]	PADIN E M, SANTOS R S, FERNÁNDEZ S G, et al. Impact of three-dimensional laparoscopy in a bariatric surgery program: influence in the learning curve[J]. Obes Surg, 2017, 27(10):2552-2556. doi: 10.1007/s11695-017-2687-5 URL
[31]	LAINAS P, DERIENNE J, DAMMARO C, et al. Single-port laparoscopic surgery for the treatment of severe obesity: review and perspectives[J]. Obes Surg, 2020, 30(7):2781-2790. doi: 10.1007/s11695-020-04620-2
[32]	DIMITROKALLIS N, ALEXANDROU A, SCHIZAS D, et al. Single-incision laparoscopic sleeve gastrectomy: review and a critical appraisal[J]. J Laparoendosc Adv Surg Tech A, 2017, 27(3):217-226. doi: 10.1089/lap.2016.0591 URL
[33]	AGABA E A, RAINVILLE H, IKEDILO O, et al. Incidence of port-site incisional hernia after single-incision laparoscopic surgery[J]. JSLS, 2014, 18(2):204-210. doi: 10.4293/108680813X13693422518317 URL
[34]	CADIERE G B, HIMPENS J, VERTRUYEN M, et al. The world’s first obesity surgery performed by a surgeon at a distance[J]. Obes Surg, 1999, 9(2):206-209. doi: 10.1381/096089299765553539 URL
[35]	TALAMINI M A, CHAPMAN S, HORGAN S, et al. A prospective analysis of 211 robotic-assisted surgical procedures[J]. Surg Endosc, 2003, 17(10):1521-1524. doi: 10.1007/s00464-002-8853-3 URL
[36]	QUDAH Y, ALHAREB A, BARAJAS-GAMBOA J S, et al. Robotic revisional single anastomosis duodenoileal bypass after sleeve gastrectomy[J]. J Laparoendosc Adv Surg Tech A, 2022, 32(10):1027-1031. doi: 10.1089/lap.2021.0470 URL
[37]	MAGOULIOTIS D E, TASIOPOULOU V S, SIOKA E, et al. Robotic versus laparoscopic sleeve gastrectomy for morbid obesity: a systematic review and meta-analysis[J]. Obes Surg, 2017, 27(1):245-253. doi: 10.1007/s11695-016-2444-1 URL
[38]	WESLEY VOSBURG R, HAQUE O, ROTH E. Robotic vs. laparoscopic metabolic and bariatric surgery, outcomes over 5 years in nearly 800,000 patients[J]. Obes Surg, 2022, 32(7):2341-2348. doi: 10.1007/s11695-022-06082-0
[39]	SEBASTIAN R, GHANEM O M, CORNEJO J, et al. Robot-assisted versus laparoscopic approach to concurrent bariatric surgery and hiatal hernia repair: propensity score matching analysis using the 2015-2018 MBSAQIP[J]. Surg Endosc, 2022, 36(9):6886-6895. doi: 10.1007/s00464-022-09027-x
[40]	OVIEDO R J, NAYAK T, LONG Z, et al. Robotic Roux en Y gastric bypass can be safe and cost-effective in a rural setting: clinical outcomes from a community hospital bariatric program[J]. J Robot Surg, 2021, 15(6):929-936. doi: 10.1007/s11701-021-01193-9
[41]	EVANS J D, SCOTT M H. Intragastric balloon in the treatment of patients with morbid obesity[J]. Br J Surg, 2001, 88(9):1245-1248. doi: 10.1046/j.0007-1323.2001.01840.x URL
[42]	JALAL M A, CHENG Q, EDYE M B. Systematic review and meta-analysis of endoscopic sleeve gastroplasty with comparison to laparoscopic sleeve gastrectomy[J]. Obes Surg, 2020, 30(7):2754-2762. doi: 10.1007/s11695-020-04591-4
[43]	MILONE L, GAGNER M, UEDA K, et al. Effect of a polyethylene endoluminal duodeno-jejunal tube (EDJT) on weight gain: a feasibility study in a porcine model[J]. Obes Surg, 2006, 16(5):620-626. doi: 10.1381/096089206776944977 URL
[44]	JIRAPINYO P, HAAS A V, THOMPSON C C. Effect of the duodenal-jejunal bypass liner on glycemic control in patients with type 2 diabetes with obesity: a meta-analysis with secondary analysis on weight loss and hormonal changes[J]. Diabetes Care, 2018, 41(5):1106-1115. doi: 10.2337/dc17-1985 URL