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随着肥胖症治疗理念与外科设备的革新,减重代谢外科的治疗手段更加多元化.除已广泛开展的腹腔镜手术,机器人辅助手术、内镜治疗技术、植入式减重器械不断涌现并应用于临床,已取得瞩目的治疗效果.作为一个年轻的学科,快速接受与吸纳新技术是减重代谢外科的一大特点.通过规范、大样本量、多中心临床研究的数据支持,可发展出更有效、微创、简便的治疗方式,在保证安全性及减重效果的前提下,满足更多肥胖症患者的差异性需求.笔者就目前减重代谢外科的创新手术方式与技术进行回顾与展望,以期为同道提供参考和借鉴.

With the innovation of obesity treatment concepts and surgical equipmentes,the procedures of metabolic and bariatric surgery have become more and more diversified.In addition to the widely used laparoscopic surgery,robot-assisted surgery,endoscopic therapy,and implantable weight loss devices have been constantly emerging and apply to clinical treatment,and achieved remarkable therapeutic effects.As a young branch of surgery,the ability to quickly absorb new technologies is a major feature of metabolic and bariatric surgery.Through the data support of various clinical studies with standardized,large sample sizes,and multiple centers,more effective,minimally invasive,and convenient treatment methods will surely evolve in the near future,which will meet the diverse needs of more obese patients while ensuring safety and weight loss effects.The authors review and look forward to the innovative surgical methods and techniques in metabolic and bariatric surgery,in order to provide reference and inspiration for the academic community.