重视减重及代谢外科手术质量控制

近些年，我国减重及代谢外科得到长足的发展，年手术量已达到万例，但是全国范围内手术适应证和手术方式的同质化仍然是一个难题。减重及代谢外科的稳步持续发展离不开手术质量控制。应建立严格的减重及代谢外科准入制度，严格控制手术适应证，同时术前须采取多学科综合治疗协作组（MDT）模式对病人进行详细的评估。除手术安全性外，还应关注手术的中远期效果，包括体重下降、代谢指标缓解以及后期体重反弹问题，这些均与手术质量息息相关。此外，手术治疗后需要建立病人的详细档案并终生随访。

Emphasis on the assessment of quality control of bariatric and metabolic surgery

Emphasis on the assessment of quality control of bariatric and metabolic surgery LIU Jin-gang，HU Jing-yao. Department of General Surgery，the Fourth Affiliated Hospital of China Medical University，Shenyang 110032，China
Corresponding author：LIU Jin-gang，E-mail：liujg1347@sina.com
Abstract In recent years，bariatric and metabolic surgery in China has made great progresses through the relentless efforts of the surgical colleagues，and the annual number of operations has been over ten thousands. However，the homogenization of surgical indications and methods throughout the country is still a concern. The stable and sustainable development of bariatric and metabolic surgery can not be separated from the control of medical quality. The strict access systems of bariatric and metabolic surgery should be established，and the operative indication should be strictly controlled，while the patients should be evaluated in detail with the multidisciplinary team (MDT) model. In addition to surgical safety，surgeons should also pay attentions to the medium and long-term effects of the operation，including weight loss，metabolic indices remission and the later weight rebounding，which are closely related to the surgical quality. Besides，the patient's detailed profiles and lifetime follow-up should be established after the operation.