【摘要】 目的 探讨磁牵引术野暴露系统（MTSS）辅助三孔腹腔镜袖状胃切除术（LSG）治疗肥胖症的安全性及有效性。方法 回顾性选取2022年2月至2023年1月在西安交通大学第一附属医院肝胆外科减重与代谢亚专业组实施MTSS辅助三孔LSG的61例肥胖症患者资料，统计并分析手术情况，比较术前、术后的体重指标及生化指标。结果 61例患者均顺利完成手术，术中无中转开腹手术患者，术中及术后无不良事件发生；平均手术时间（77.93±29.64）min，平均术后住院时间（3.17±0.51）d。术后，患者的体重、身体质量指数（BMI）、低密度脂蛋白、空腹血糖、糖化血红蛋白、总胆红素、谷草转氨酶、谷丙转氨酶及尿酸水平低于术前，高密度脂蛋白、直接胆红素水平高于术前，差异具有统计学意义（P<0.01）。结论 MTSS辅助三孔LSG治疗肥胖症安全有效，术后患者减重效果明显，糖脂代谢指标及尿酸水平明显改善。更多还原

【Abstract】 Objective To explore the safety and effect of magnetic traction surgical field exposure system(MTSS) assisted three-hole laparoscopic sleeve gastrectomy(LSG) in the treatment of obesity. Methods The data of 61 obesity patients who underwent MTSS assisted three-hole LSG in the sub-professional group of weight loss and metabolism of hepatobiliary surgery department of the First Affiliated Hospital of Xi’an Jiaotong University from February 2022 to January 2023 were retrospectively selected. The operation conditions were statistically analyzed, and the body weight indexes and biochemical indexes before and after operation were compared. Results All the 61 patients successfully completed the operation without conversion to open surgery, and no adverse events occurred during and after the operation; the average operation time was(77.93±29.64) min, and the average postoperative hospital stay was(3.17 ±0.51) d. After operation, the body weight, body mass index(BMI), low density lipoprotein, fasting blood glucose, glycosylated hemoglobin,total bilirubin, aspartate aminotransferase, alanine aminotransferase and uric acid levels of the patients were lower than those before operation, and the levels of high density lipoprotein and direct bilirubin were higher than those before operation, and the differences were statistically significant( P<0.01). Conclusion MTSS assisted three-hole LSG is safe and effective in the treatment of obesity. The weight loss effect of patients after operation is obvious, the glucose and lipid metabolism indexes and uric acid levels significantly improved.更多还原