单孔腹腔镜袖状胃切除术的研究进展与疗效分析

金明明, 孔剑桥, 张鹏, 丁正华, 李恒平

腹腔镜外科杂志 ›› 2026, Vol. 31 ›› Issue (04) : 299 -303.

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腹腔镜外科杂志 ›› 2026, Vol. 31 ›› Issue (04) : 299 -303. DOI: 10.13499/j.cnki.fqjwkzz.2026.04.299
综述

单孔腹腔镜袖状胃切除术的研究进展与疗效分析

    金明明1, 孔剑桥2, 张鹏3, 丁正华3, 李恒平3
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摘要

随着单孔腹腔镜技术的不断进步,其在减轻术后疼痛、避免腹部可见瘢痕方面的优势日益凸显。腹腔镜袖状胃切除术作为目前应用最广泛的减重代谢手术,因操作难度相对较低,在手术入路方面经历了持续演进,由多孔、三孔逐步发展为单孔加一孔甚至纯单孔手术。关于单孔腹腔镜袖状胃切除术是否具备广泛适用性,目前仍存有争议。本文结合现有研究成果,系统评估其安全性、疗效及相关并发症,进一步探讨在人工智能发展背景下的应用前景。

关键词

袖状胃切除术 / 腹腔镜检查 / 单孔 / 治疗结果 / 综述

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金明明, 孔剑桥, 张鹏, 丁正华, 李恒平. 单孔腹腔镜袖状胃切除术的研究进展与疗效分析[J]. 腹腔镜外科杂志, 2026, 31(04): 299-303 DOI:10.13499/j.cnki.fqjwkzz.2026.04.299

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参考文献

[1] Wu Z,Xia F,Wang W,et al.The global burden of disease attributable to high body mass index in 204 countries and territories from 1990 to 2021 with projections to 2050:An analysis of the Global Burden of Disease Study 2021[J].Eur J Heart Fail,2025, 27(2):354-365.
[2] Chao AM,Tronieri JS,Amaro A,et al.Semaglutide for the treatment of obesity[J].Trends Cardiovasc Med,2023,33(3):159-166.
[3] Wilding JPH,Batterham RL,Davies M,et al.Weight regain and cardiometabolic effects after withdrawal of semaglutide:The STEP 1 trial extension[J].Diabetes Obes Metab,2022,24(8):1553-1564.
[4] Mingrone G,Panunzi S,De Gaetano A,et al.Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label,single-centre,randomised controlled trial[J].Lancet,2015,386(9997): 964-973.
[5] Ataya K,Bsat AM,Aljaafreh A,et al.Single Incision Versus Conventional Multiport Laparoscopic Sleeve Gastrectomy :Meta- Analysis and Systematic Review[J].Cureus,2023,15(10):e46956.
[6] 邢颖,闫文貌.单孔腹腔镜袖状胃切除术发展现状[J/CD].中华肥胖与代谢病电子杂志,2024,10(2):133-137.
[7] Wheeless CR.A rapid inexpensive and effective method of surgical sterilization by laparoscopy[J].Journal of Reproductive Medicine,1969,3(5):65-69.
[8] Pelosi MA,Pelosi MA 3rd.Laparoscopic appendectomy using a single umbilical puncture(minilaparoscopy)[J].J Reprod Med, 1992,37(7):588-594.
[9] Navarra G,Pozza E,Occhionorelli S,et al.One-wound laparoscopic cholecystectomy[J].Br J Surg,1997,84(5):695.
[10] Saber AA,Elgamal MH,Itawi EA,et al.Single incision laparoscopic sleeve gastrectomy(SILS):a novel technique[J].Obes Surg,2008,18(10):1338-1342.
[11] 梁辉,吴鸿浩.经脐单孔腹腔镜下袖状胃切除术一例[J].中华胃肠外科杂志,2012,15(11):1201-1202.
[12] Sakaguchi Y,Ikeda O,Toh Y,et al.New technique for the retraction of the liver in laparoscopic gastrectomy[J].Surg Endosc, 2008,22(11):2532-2534.
[13] 朱任重,于宏.腹腔镜手术中胃食管结合部显露技术的研究进展[J].中国普外础与临床杂志,2015,22(12):1543-1547.
[14] Barranco A,Morales-Conde S,Padillo FJ.Single port-assisted laparoscopic sleeve gastrectomy:a new approach to the growth of reproducibility of the single portretain[J].Surg Obes Relat Dis,2018,14(3):424-425.
[15] Fadhl H,Suhool A,Donatelli G,et al.Umbilical Single-Port Sleeve Gastrectomy as a Standardized Procedure:How to Do It? (Video)[J].Obes Surg,2019,29(5):1697-1698.
[16] Cizmic A,Reichert P,Häberle F,et al.Effects of training in pairs versus training alone on reaching proficiency in minimally inva- sive Roux-en-Y-gastric bypass on a virtual reality trainer in medical students:a randomized-controlled trial[J].Surg Endosc, 2025,39(5):3285-3297.
[17] Widjaja J,Meng X,Sun H,et al.Outcomes and Challenges of Transumbilical Single-Port Sleeve Gastrectomy:A Retrospective Analysis Based on Height and BMI[J].Obes Surg,2025,35(3):837-842.
[18] Amiki M,Seki Y,Kasama K,et al.Reduced-Port Sleeve Gastrectomy for Morbidly Obese Japanese Patients:a Retrospective Case- Matched Study[J].Obes Surg,2019,29(10):3291-3298.
[19] Mittermair R.Transumbilical single-incision laparoscopic sleeve gastrectomy:Short-term results and technical considerations[J]. J Minim Access Surg,2013,9(3):104-108.
[20] Jiang Z,Zhang Z,Feng T,et al.Trocar number and placement for laparoscopic sleeve gastrectomy and comparison of single-inci- sion and conventional laparoscopic sleeve gastrectomy:a systematic review and meta-analysis[J].Int J Surg,2023,109(6): 1783-1795.
[21] Morales-Conde S,Del Agua IA,Moreno AB,et al.Postoperative pain after conventional laparoscopic versus single-port sleeve gas- trectomy:a prospective,randomized,controlled pilot study[J].Surg Obes Relat Dis,2017,13(4):608-613.
[22] Sun SD,Wu PP,Zhou JF,et al.Comparison of Single-Incision and Conventional Laparoscopic Sleeve Gastrectomy for Morbid Obesity:a Meta-Analysis[J].Obes Surg,2020,30(6):2186-2198.
[23] Delgado S,Ibarzabal A,Adelsdorfer C,et al.Transumbilical single-port sleeve gastrectomy:initial experience and comparative study[J].Surg Endosc,2012,26(5):1247-1253.
[24] Nguyen NT,Smith BR,Reavis KM,et al.Strategic laparoscopic surgery for improved cosmesis in general and bariatric surgery: analysis of initial 127 cases[].J Laparoendosc Adv Surg Tech A,2012,22(4):355-361.
[25] Lakdawala M,Agarwal A,Dhar S,et al.Single-incision sleeve gastrectomy versus laparoscopic sleeve gastrectomy.A 2-year com- parative analysis of 600 patients[J].Obes Surg,2015,25(4):607-614.
[26] 刘家盛,李士军,闫瑞承,等.单孔腹腔镜袖状胃切除术与传统腹腔镜袖状胃切除术的对比研究[J].临床外科杂志,2020, 28(9):826-829.
[27] Gomberawalla A,Salamat A,Lutfi R.Outcome analysis of single incision vs traditional multiport sleeve gastrectomy:a matched cohort study[J].Obes Surg,2014,24(11):1870-1874.
[28] Sucher R,Resch T,Mohr E,et al.Single-incision laparoscopic sleeve gastrectomy versus multiport laparoscopic sleeve gastrecto- my:analysis of 80 cases in a single center[J].J Laparoendosc Adv Surg Tech A,2014,24(2):83-88.
[29] Muir KB,Rice WV.Weight-loss outcomes of SPIDER(®)sleeve gastrectomy at 6 months compared to traditional laparoscopic technique[J].Surg Endosc,2016,30(5):2043-2048.
[30] Park Y,Park YS,Lee S,et al.Safety and effectiveness of reduced-port laparoscopic sleeve gastrectomy in Asian morbidly obese patients[J].Sci Rep,2021,11(1):23511.
[31] Lainas P,Derienne J,Zervaki S,et al.Left Hypochondrium or Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy for the Treatment of Severe Obesity:Surgical Technique and Results of a Tertiary Referral Bariatric Center[J].Obes Surg,2021, 31(11):5063-5070.
[32] Connell MB,Selvam R,Patel SV.Incidence of incisional hernias following single-incision versus traditional laparoscopic surgery: a meta-analysis[J].Hernia,2019,23(1):91-100.
[33] Deerenberg EB,Henriksen NA,Antoniou GA,et al.Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies[J].Br J Surg,2022,109(12):1239-1250.
[34] Saber AA,El-Ghazaly TH,Dewoolkar AV,et al.Single-incision laparoscopic sleeve gastrectomy versus conventional multiport laparoscopic sleeve gastrectomy:technical considerations and strategic modifications[J].Surg Obes Relat Dis,2010,6(6):658-664.
[35] Porta A,Aiolfi A,Musolino C,et al.Prospective Comparison and Quality of Life for Single-Incision and Conventional Laparosco- pic Sleeve Gastrectomy in a Series of Morbidly Obese Patients[J].Obes Surg,2017,27(3):681-687.
[36] Mauriello C,Chouillard E,d' alessandro A,et al.Retrospective Comparison of Single-Port Sleeve Gastrectomy Versus Three-Port Laparoscopic Sleeve Gastrectomy:a Propensity Score Adjustment Analysis[J].Obes Surg,2018,28(7):2105-2112.
[37] Tranchart H,Rebibo L,Gaillard M,et al.Short-term outcomes of single-port versus conventional laparoscopic sleeve gastrectomy: a propensity score matched analysis[J].Surg Endosc,2020,34(9):3978-3985.
[38] Khidir N,Gagner M,El Matbouly M,et al.Single-Port Sleeve Gastrectomy Compared With Conventional Laparoscopic Sleeve Gastrectomy:5-Year Follow-up of Weight Loss,Comorbidity Resolution,and Cost[J].Surg Innov,2020,27(3):265-271.
[39] Checcucci E,De Cillis S,Pecoraro A,et al.Single-port robot-assisted radical prostatectomy:a systematic review and pooled ana- lysis of the preliminary experiences[J].BJU Int,2020,126(1):55-64.
[40] Tyson MD.Single incision robotic cystectomy and urinary diversion[J].World J Urol,2024,42(1):45.
[41] Shidei H,Mitsuboshi S,Yamamoto T,et al.Single-incision port robot-assisted surgery for thymic carcinoid tumor resection[J].J Cardiothorac Surg,2022,17(1):90.
[42] Grochola LF,Soll C,Zehnder A,et al.Robot-assisted versus laparoscopic single-incision cholecystectomy:results of a randomized controlled trial[J].Surg Endosc,2019,33(5):1482-1490.
[43] Wang Z,Wang R,Guo H,et al.AI-assisted diagnosis of vulvovaginal candidiasis using cascaded neural networks[J].Microbiol Spectr,2025,13(1):e0169124.
[44] Ghaednia H,Fourman MS,Lans A,et al.Augmented and virtual reality in spine surgery,current applications and future potentials[J].Spine J,2021,21(10):1617-1625.

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