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Laparoscopic bariatric surgery.

机译:腹腔镜减肥手术。

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摘要

Laparoscopy has meant profound changes for the field of bariatric surgery. Bariatric operations, which are technically difficult because of the patient population, were not performed laparoscopically until the last 5 years of the 20th century. The years 1998 to 2003, herein defined as the Bariatric Revolution, saw profound changes in the way bariartric surgery was practiced. Major changes in patient education, public awareness, patient enthusiasm, popularity of the surgery, and academic acceptance of bariatric surgery occurred during this time. This led to such a massive increase in procedures performed that there was a reactionary movement by insurers to deny coverage for these procedures. Limitation of access to care and other important socioeconomic issues are now being debated and confronted in the bariatric arena. Recommendations for the field are suggested. The outcomes of these controversies will potentially have a profound impact on all of surgery.
机译:腹腔镜检查对减肥手术领域意味着深刻的变化。由于患者人群的原因,减肥手术在技术上是困难的,直到20世纪最后5年才进行腹腔镜手术。 1998年至2003年(此处定义为减肥运动)在减肥手术的实施方式上发生了深刻的变化。在这段时间内,患者的教育,公众意识,患者热情,手术的普及以及减肥手术的学术接受度发生了重大变化。这导致所执行程序的大量增加,以致保险公司进行了反动运动,拒绝提供这些程序的承保范围。减肥领域正在讨论和面对获得保健的限制和其他重要的社会经济问题。建议该领域。这些争议的结果可能会对所有手术产生深远影响。

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