单孔减重手术：优势与存在的问题

摘要/Abstract

摘要：

单孔减重手术作为微创外科的重要进展，通过单一微小切口实现减重目标，具有创伤小、切口隐蔽及术后恢复快等优势。单孔腹腔镜胃袖状切除术（SILSG）是目前国内外实施最多的单孔减重术式，其减重效果及并发症发生率与传统多孔腹腔镜手术相当，病人满意度显著提升。但单孔减重手术的临床应用推广仍存在一定的技术瓶颈，现有的临床研究证据相对有限，手术规范与培训体系尚不健全。进一步建立符合中国国情的单孔减重手术培训体系与专家共识对于促进以SILSG为代表的单孔减重手术规范化开展具有重要意义。

关键词:减重手术,单孔手术,微创手术,腹腔镜胃袖状切除术

Abstract:

Single-incision bariatric surgery, as a significant advancement in minimally invasive surgery, achieves weight loss goals through a single small incision, offering advantages such as minimal trauma, concealed scarring, and rapid postoperative recovery. The single-incision laparoscopic sleeve gastrectomy (SILSG) currently represents the most widely performed single-incision bariatric procedure globally, demonstrating weight loss efficacy and complication rates comparable to traditional multi-incision laparoscopy alongside significantly higher patient satisfaction. However, the clinical adoption of single-incision bariatric surgery still faces technical challenges with relative scarcity in robust clinical research evidence and underdeveloped standardized surgical protocols and training systems. To further establish a specialized training system and expert consensus for single-incision bariatric surgery that aligns with China's national conditions is of great significance for promoting the standardized implementation of SILSG-represented procedures.

Key words:Bariatric surgery,Single-incision surgery,Minimally invasive surgery,Laparoscopic sleeve gastrectomy(LSG)

中图分类号:

董文培, 杨建军, 顾岩. 单孔减重手术：优势与存在的问题[J]. 外科理论与实践, 2025, 30(03): 202-206.

DONG Wenpei, YANG Jianjun, GU Yan. Single-incision bariatric surgery: advantages and challenges[J]. Journal of Surgery Concepts & Practice, 2025, 30(03): 202-206.

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