Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (9): 72-77.doi: 10.6040/j.issn.1671-7554.0.2021.1019

Previous Articles     Next Articles

Exploration of surgical treatment of obesity by laparoscopic techniques in China

ZHONG Mingwei, HU Sanyuan   

  1. Department of General Surgery, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan 250014, Shandong, China
  • Published:2021-10-15

RichHTML

5

PDF (PC)

299

Abstract: With the social and economic development of China, the number of obesity patients has increased dramatically at the beginning of this century. Obesity and comorbidities such as metabolic diseases have gradually become the main diseases that endanger the health of people. Domestic general surgeons keep up with the change of disease spectrum and start to explore surgical treatment of obesity. Initially, they studied and applied foreign surgical procedures, and now they have gradually developed the Chinese model of technical and theoretical system of laparoscopic sleeve gastrectomy, establishing the systematic bariatric surgery. This paper reviews the evolution of bariatric surgery and focuses on the exploration of bariatric surgery at home.

Key words: Bariatric surgery, Laparoscopy, Sleeve gastrectomy

CLC Number: 

  • R656.6+1
[1] Angrisani L, Santonicola A, Iovino P, et al. IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures[J]. Obes Surg, 2018, 28(12): 3783-3794.
[2] 王存川, 张鹏, 赵玉沛. 腹腔镜袖状胃切除术操作指南(2018版)[J]. 中华肥胖与代谢病电子杂志, 2018, 4(4): 196-201. WANG Cunchuan, ZHANG Peng, ZHAO Yupei. The clinical guideline for laparoscopic sleeve gastrectomy procedure(2018 Edition)[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2018, 4(4): 196-201.
[3] 李梦伊, 刘洋, 张松海. 大中华减重与代谢手术数据库2020年度报告[J]. 中国实用外科杂志, 2021, 41(5): 533-542. LI Mengyi, LIU Yang, ZHANG Songhai. Greater China metabolic and bariatric surgery database registry report(2020)[J]. Chinese Journal of Practical Surgery, 2021, 41(5): 533-542.
[4] 王存川, 王宇澄. 减重手术的现状与展望[J]. 中国普外基础与临床杂志, 2019, 26(6): 641-644. WANG Cunchuan, WANG Yuchen. Current status and outlook of bariatric surgery [J]. Chinese Journal of Bases and Clinics in General Surgery, 2019, 26(6): 641-644.
[5] Jr GW, Bivins BA, Bell RM. The decline and fall of the jejunoileal bypass [J]. Surg Gynecol Obstet,1983,157(4):301-308.
[6] Mason EE, Ito C. Gastric bypass in obesity [J]. Surg Clin North Am, 1967, 47(6): 1345-1351.
[7] Griffen WO, Young VL, Stevenson CC. A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity [J]. Surg Obes Relat Dis, 2005, 1(2): 163-172.
[8] Scopinaro N. Why the operation I prefer is biliopancreatic diversion(BPD)[J]. Obesity Surgery, 1991, 1(3): 307-309.
[9] Saber AA, Elgamal MH, Mcleod MK. Bariatric surgery: the past, present, and future [J]. Obes Surg, 2008, 18(1): 121-128.
[10] Scopinaro N, Adami GF, Marinari GM, et al. Langzeitergebnisse mit der biliopankreatischen Umleitung zur Behandlung der morbiden Adipositas [J]. Acta Chirurgica Austriaca, 1998, 30(3): 166-171.
[11] Hess DS. Biliopancreatic diversion with duodenal Switch [J]. Surgery for Obesity & Related Diseases Official Journal of the American Society for Bariatric Surgery, 2011, 91(6): 1281-1293.
[12] Printen KJ, Mason EE. Gastric surgery for relief of morbid obesity [J]. Arch Surg, 1973, 106(4): 428-431.
[13] Laws HL, Piantadosi S. Superior gastric reduction procedure for morbid obesity: a prospective, randomized trial [J]. Ann Surg, 1981, 193(3): 334-340.
[14] Mason, Edward E. Vertical banded gastroplasty for obesity [J]. Archives of Surgery, 1982, 117(5): 701-706.
[15] 杨忠魁, 赵晓宇, 杨洪木, 等. Payne改良法治疗肥胖病一例[J]. 中华外科杂志, 1984, 22(3): 143-143. YANG Zhongkui, ZHAO Xiaoyu, Yang Hongmu, et al. A case of obesity treated by Paynes modified method [J]. Chinese Journal of Surgery, 1984, 22(3): 143-143.
[16] 郑成竹, 胡明根, 柯重伟, 等. 腹腔镜可调节捆扎带胃减容术治疗单纯重度肥胖症的临床应用[J]. 中华胃肠外科杂志, 2004, 7(5): 368-371. ZHENG Chengzhu, HU Minggen, KE Chongwei, et al. Laparoscopic adjustable gastric banding treatment for morbid obesity [J]. Chinese Journal of Gastrointestinal Surgery, 2004, 7(5): 368-371.
[17] 陈月, 邹大进, 郑成竹. 腹腔镜垂直束带式胃减容术治疗单纯性重度肥胖患者的疗效及安全性评价[J]. 解放军医学杂志, 2003,28(7): 618-619. CHEN Yue, ZOU Dajin, ZHENG Chengzhu. Evaluation on effects and safety of laparoscopic vertical banding gastroplasty in morbid obese subjects [J]. Medical Journal of Chinese Peoples Liberation Army, 2003, 28(7): 618-619.
[18] 王存川, 陈均金, 胡友主, 等. 腹腔镜Roux-en-y分流胃旁路减肥术1例报告[J].中国内镜杂志, 2004,10(12): 118-119. WANG Cunchuan, CHEN Junjin, HU Youzhu, et al. Laparoscopic roux-en-y gastric bypass for weight loss in one case report [J]. China Journal of Endoscopy, 2004, 10(12): 118-119.
[19] 郑成竹, 李际辉. 中国肥胖病外科治疗指南(2007)[J]. 中国实用外科杂志, 2007, 27(10): 759-762. ZHENG Chengzhu, LI Jihui. Chinese guidelines for the surgical treatment of obesity(2007)[J]. Chinese Journal of Practical Surgery, 2007, 27(10): 759-762.
[20] 王跃东, 叶再元, 竺杨文, 等. 腹腔镜袖套式胃减容术治疗病态性肥胖症[J]. 浙江医学, 2007, 29(3): 258-259. WANG Yuedong, YE Zaiyuan, ZHU Yangwen, et al. Laparoscopic sleeve gastrectomy for morbid obesity [J]. Zhejiang Medical Journal, 2007, 29(3): 258-259.
[21] 胡三元, Frezza EE, 李峰, 等. 腹腔镜胃袖套状切除减肥术(附1例报告)[J]. 腹腔镜外科杂志, 2007, 12(5): 370-373. HU Sanyuan, Frezza EE, LI Feng, et al. Clinical analysis of laparoscopic is sleeve gastrectomy in morbid obesity: with a report of one case [J]. Journal of Laparoscopic Surgery, 2007, 12(5): 370-373.
[22] 刘金钢, 田忠, 杨福全, 等. 腹腔镜袖状胃切除术治疗单纯性肥胖症1例报告[J]. 中国实用外科杂志, 2007,27(6): 481-482. LIU Jingang, TIAN Zhong, YANG Fuquan, et al. A case report of laparoscopic sleeve gastrectomy for simple obesity [J]. Chinese Journal of Practical Surgery, 2007,27(6): 481-482.
[23] Feng L, Zhang G, Liang J, et al. Sleeve gastrectomy provides a better control of diabetes by decreasing ghrelin in the diabetic Goto-kakizaki rats [J]. J Gastrointest Surg, 2009, 13(12): 2302.
[24] Chen W, Yan Z, Liu S, et al. The changes of pro-opiomelanocortin neurons in type 2 diabetes mellitus rats after ileal transposition: the role of POMC neurons [J]. J Gastrointest Surg, 2011, 15(9): 1618-1624.
[25] Sun D, Liu S, Zhang G, et al. Type 2 diabetes control in a nonobese rat model using sleeve gastrectomy with duodenal-jejunal bypass(SGDJB)[J]. Obes Surg, 2012(12): 1865-1873. doi:10.1007/s11695-012-0744-7.
[26] Liu S, Zhang G, Wang L, et al. The entire small intestine mediates the changes in glucose homeostasis after intestinal surgery in Goto-Kakizaki rats [J]. Ann Surg, 2012, 256(6): 1049-1058.
[27] Liu SZ, Sun D, Zhang GY, et al. A high-fat diet reverses improvement in glucose tolerance induced by duodenal-jejunal bypass in type 2 diabetic rats [J]. Chin Med J(Engl), 2012, 125(5): 912-919.
[28] Yan Z, Chen W, Liu S, et al. Myocardial insulin signaling and glucose transport are up-regulated in Goto-Kakizaki type 2 diabetic rats after ileal transposition [J]. Obes Surg, 2012, 22(3): 493-501.
[29] Zhiqing W, Jing W, Haili X, et al. Renal function is ameliorated in a diabetic nephropathy rat model through a duodenal-jejunal bypass [J]. Diabetes Res Clin Pract, 2014, 103(1): 26-34.
[30] Hu C, Zhang G, Sun D, et al. Duodenal-jejunal bypass improves glucose metabolism and adipokine expression independently of weight loss in a diabetic rat model [J]. Obes Surg, 2013, 23(9): 1436-1444.
[31] Sun D, Wang K, Yan Z, et al. Duodenal-jejunal bypass surgery up-regulates the expression of the hepatic insulin signaling proteins and the key regulatory enzymes of intestinal gluconeogenesis in diabetic Goto-Kakizaki rats [J]. Obes Surg, 2013, 23(11): 1734-1742.
[32] Cheng Y, Huang X, Wu D, et al. Sleeve gastrectomy with bypass of proximal small intestine provides better diabetes control than sleeve gastrectomy alone under postoperative high-fat diet [J]. Obes Surg, 2019, 29(1): 84-92.
[33] Liu T, Zhong MW, Liu Y, et al. Effects of sleeve gastrectomy plus trunk vagotomy compared with sleeve gastrectomy on glucose metabolism in diabetic rats [J]. World J Gastroenterol, 2017, 23(18): 3269-3278.
[34] Liu T, Zhong MW, Liu Y, et al. Diabetes recurrence after metabolic surgeries correlates with re-impaired insulin sensitivity rather than beta-cell function [J]. World J Gastroenterol, 2017, 23(19): 3468-3479.
[35] Zhong MW, Liu SZ, Zhang GY, et al. Effects of sleeve gastrectomy with jejuno-jejunal or jejuno-ileal loop on glycolipid metabolism in diabetic rats [J]. World J Gastroenterol, 2016, 22(32): 7332-7341.
[36] Wei M, Shao Y, Liu QR, et al. Bile acid profiles within the enterohepatic circulation in a diabetic rat model after bariatric surgeries [J]. Am J Physiol Gastrointest Liver Physiol, 2018, 314(5): G537-G546.
[37] Mahawar KK, Omar I, Singhal R, et al. The first modified Delphi consensus statement on sleeve gastrectomy [J]. Surg Endosc, 2021. doi: 10.1007/s00464-020-08216-w.
[38] Mui WL, Ng EK, Tsung BY, et al. Laparoscopic sleeve gastrectomy in ethnic obese Chinese [J]. Obes Surg, 2008, 18(12): 1571-1574.
[39] Zhang Y, Zhao H, Cao Z, et al. A randomized clinical trial of laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy for the treatment of morbid obesity in China: a 5-year outcome [J]. Obes Surg, 2014, 24(10): 1617-1624.
[40] Huang X, Liu T, Zhong M, et al. Predictors of glycemic control after sleeve gastrectomy versus Roux-en-Y gastric bypass: a meta-analysis, meta-regression, and systematic review [J]. Surg Obes Relat Dis, 2018, 14(12): 1822-1831.
[41] Rogers AM. Predictors of glycemic control after sleeve gastrectomy versus Roux-en-Y gastric bypass: A meta-analysis, meta-regression, and systematic review [J]. Surg Obes Relat Dis, 2019(1): e3-e4. doi: 10.1016/j.soard.2018.10.025.
[42] 马颖璋, 朱江帆, 忻颖, 等. 腹腔镜胃袖状切除加空回肠侧侧吻合术在治疗肥胖症中的应用价值[J]. 中华肥胖与代谢病电子杂志, 2016, 2(3): 142-145. MA Yingzhang, ZHU Jiangfan, XIN Ying, et al. Application value of laparoscopic sleeve gastrectomy plus side-to-side jejunoileal anastomosis in treating obesity [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2016, 2(3): 142-145.
[43] 程玉刚. 袖状胃切除加近端小肠旁路术改善糖代谢的作用及机制研究[D]. 济南: 山东大学, 2019.
[44] Sun D, Liu S, Zhang G, et al. Sub-sleeve gastrectomy achieves good diabetes control without weight loss in a non-obese diabetic rat model [J]. Surg Endosc, 2014, 28(3): 1010-1018.
[45] 刘金刚, 郑成竹, 王勇. 中国肥胖和2型糖尿病外科治疗指南(2014)[J]. 中国实用外科杂志, 2014, 34(11): 1005-1010.
[46] 王勇, 王存川, 朱晒红, 等. 中国肥胖及2型糖尿病外科治疗指南(2019版)[J]. 中国实用外科杂志, 2019, 39(4): 301-306.
[47] 胡三元. 机器人辅助袖状胃切除术操作指南(2020年版)[J]. 腹腔镜外科杂志, 2021, 26(1): 1-6.
[1] HUO Suxia, LIU Wei, WANG Xin. Experience in the treatment of 86 cases of type Ⅲ cesarean scar pregnancy [J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 40-44.
[2] ZHANG Zhaoyi, HAN Ting, SUN Yanping, LI Bo. Application of polyethylene glycol electrolyte powder in intestinal preparation of 40 cases before gynecological laparoscopic operation [J]. Journal of Shandong University (Health Sciences), 2020, 58(2): 49-53.
[3] DU Hao, CHENG Yugang, HUANG Xin, LIU Shaozhuang, ZHANG Guangyong, HU Sanyuan. Effects of sleeve gastrectomy on lung injury in type 2 diabetic rats [J]. Journal of Shandong University (Health Sciences), 2019, 57(4): 20-26.
[4] GUAN Xiaoming, ZHANG Yiming, FAN Xiaodong. Development and prospect of laparoendoscopic single-site surgery [J]. Journal of Shandong University (Health Sciences), 2019, 57(12): 5-9.
[5] WANG Yanzhou. Single-site laparoscopy in gynecologic oncology [J]. Journal of Shandong University (Health Sciences), 2019, 57(12): 15-19.
[6] XING Nianzeng. Theory, technique and skills of “Sandwich” urethral reconstruction in laparoscopic radical prostatectomy [J]. Journal of Shandong University (Health Sciences), 2019, 57(1): 16-20.
[7] ZHOU Huimei, YANG Jiaxin, CAO Dongyan, SHEN Keng, XIANG Yang, WU Ming, PAN Lingya, HUANG Huifang, LANG Jinghe. Fertility-sparing radical trachelectomy for young women with early stage cervical cancer: surgical and obstetrical outcomes [J]. Journal of Shandong University (Health Sciences), 2018, 56(5): 18-22.
[8] XU Jialong, SUN Xiaogang, WANG Junfeng, LIU Qian, MA Nan, LI Dianguo, CHEN Weixiu, LI Jinliang, WANG Ruoyi. Comparision of the therapeutic effects of laparoscopic surgery and open surgery on primary bladder diverticula [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(7): 95-99.
[9] XIE Haibin, WU Qunzheng, LIU Shaozhuang, HUANG Xin, CHENG Yugang, HU Sanyuan, ZHANG Guangyong. Role of mitochondria-associated membranes in the improvement of insulin sensitivity in diabetic rats after sleeve gastrectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(10): 36-40.
[10] LIU Chuan, HU Sanyuan, LIU Shaozhuang, ZHANG Guangyong, WANG Kexin, YU Wenbin. Clinical analysis of insulinoma resection：laparoscopy versus laparotomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(9): 67-71.
[11] ZHANG Yanliang1, ZHUANG Zirong2, ZHU Lin1, LIANG Tingting1 . Quality of life after laparoscopic surgery for cervical cancer patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(6): 62-66.
[12] XIONG Hui1, XIA Ting2， JIANG Shaobo1, XIA Qinghua1, ZHAO Yong1, JIN Xunbo1. Effect of the renal volume on surgical occasion for patients with  autosomal dominant polycystic kidney disease [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(8): 96-99.
[13] ZHAI Heng， JIAO Wei， YAN Lei， WANG Kun， XU Zhong-hua. Comparison of therapeutic effects between laparoscopic pyeloureterolithotomy and open surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(6): 107-.
[14] ZHOU Bin, JIANG Zhi-long, GENG Zhong-ze, CAO Bing, PENG Zhi-xiang. A feasibility analysis of trans-umbilical single-port laparoscopic cholecystectomy: Report of 48 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(11): 105-107.
[15] LIU Yang-dong, LI Xiang-tie， LIU Shao-ge， SHI Yan， YANG Xian-zhen . Laparoscopic-assisted small incision relative live donor nephrectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(10): 108-110.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] WANG Huan-liang,SUN Bao-zhu,DU Hong-mei,ZHOU Chang-qing,ZHANG Li. Controlling the depth of propofol anesthesia using the bispectral indexand the systolic blood pressure[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(5): 471 -474 .
[2] SONG Yong-hong,MA Chun-hong,LV Hong-juan,ZHU Chuan-fu,NIE Xiang-min,WANG Mei,LIU Yan,ZHANG Ping. HLA allele polymorphism in northern Hans of China[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(6): 546 -553 .
[3] HOU Xiao-yang,BU Pei-li,ZHANG Yun,FENG Jin-bo,LIU Chun-xi,LI Chuan-bao,HAO Ming-xiu. Peroxisome proliferatorsactivated receptor α play a critical role in the inhibition of myocardial fibrosis induced by AngⅡ in vitro[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(7): 665 -668 .
[4] ZENG Ji-ping,WANG Li-na,WANG Li-xiang,REN Xiao-hui,ZHANG Meng-ye,XIA Wen,CUI Xing. [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(5): 467 -470 .
[5] SHU Ya,QI Feng. Jaw thrust device (JTD) on obesity patients for maintaining the airway patency during general anesthesia induction[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(10): 1072 -1074 .
[6] YU Hui1,2, CHEN Shaohua1, ZHAO Jiajun2, GAO Ling3
. Effects of ethanol on glycogen content, GSK3β，
and PAMPK of L02 cells[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(04): 75 -78 .
[7] . Susceptibilityweighted imaging of diffuse axonal injury: a correlative
study of lesionnumber and Glasgow Score Scale[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(10): 126 -129 .
[8] . Association between polymorphism of the angiotensinconverting enzyme gene and the aldosterone synthase gene in pedigreed primary hypertension[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(7): 44 -48 .
[9] ZHENG Jin-Xu, GU Yan-Lan, WAN Bing. Effect of chymase inhibitor on bleomycininduced pulmonary fibrosis and its mechanism in rats[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(12): 1132 -1135 .
[10] . 31phosphorus magnetic resonance spectroscopy in  diagnosis of the benign and malignant masses in liver[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(11): 118 -120 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd