对《国际袖状胃切除术专家组共识》的理解及我们的经验

为了规范病态性肥胖症和肥胖症伴2型糖尿病的手术治疗，2011年3月，来自世界各地的外科专家聚集在美国佛罗里达州，讨论并制定了《国际袖状胃切除术专家组共识：基于12000例经验的最佳实践指南》，对袖状胃切除术的外科路径标准化方面作出了有益的尝试。上海第二军医大学长海医院徽创外科结合开展病态性肥胖症并2型糖尿病手术治疗10多年的经验以及对上述《共识》的理解，对《共识》中提到的袖状胃切除术的学习曲线、术前准备、适应证与禁忌证、手术技术及并发症预防与处理、术后管理等方面谈了自己的体会。

Understanding of International Sleeve Gastrectomy Expert Panel Consensus Statement and our experience

An international symposium on the standard surgical treatment of morbid obesity and type 2 diabetes mellitus was held in Florida, USA on March, 2011. An expert panel from all over the world attended the meeting. The expert panelists discussed and established International Sleeve Gastrectomy Expert Panel Consensus Statement： best practice guidelines based on experience of more than 12,000 eases, which made a very commendable attempt in standardized surgical pathway of sleeve gastrectomy. Based on clinical experience of over 10 years and the understanding of theconsensus, this paper discusses the learning curve, preoperative preparation, indications/contraindications, surgical technique, management and prevention of complications, and postoperative management