腹腔镜近端胃切除术后抗反流消化道重建术式的研究进展  

Research progress of anti-reflux digestive tract reconstruction after laparoscopic proximal gastrectomy

作　　者：陈振光 叶再元[2] Chen Zhenguang;Ye Zaiyuan(Department of Gastrointestinal Surgery,Shulan(Hangzhou)Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College,Hangzhou 310022,China;General Surgery,Department of Gastrointestinal and Pancreatic Surgery,Zhejiang Provincial People′s Hospital(Affiliated People′s Hospital,Hangzhou Medical College),Hangzhou 310014,China)

机构地区：[1]浙江树人大学树兰国际医学院附属树兰(杭州)医院胃肠外科,杭州310022 [2]浙江省人民医院(杭州医学院附属人民医院)普通外科胃肠胰外科,杭州310014

出　　处：《中国医师杂志》2023年第10期1468-1472,共5页Journal of Chinese Physician

摘　　要：胃上部癌和食管胃结合部癌发病率逐渐上升,近端胃切除术的安全性已得到验证,并在临床中得到广泛应用。传统的食管残胃吻合方式会导致患者术后出现严重的反流性食管炎,影响患者生活质量。近年来,腹腔镜在胃癌根治术中不断推广,临床医生们在不断探索和创新近端胃切除术后抗反流消化道重建方式,但尚未达成标准共识。本文结合最新的临床研究结果,对腹腔镜近端胃切除术后抗反流消化道重建术式的研究进展进行综述,以期为同道提供参考,让患者最大化获益。The incidence of upper gastric cancer and esophagogastric junction cancer is gradually increasing.The safety of proximal gastrectomy has been proven and widely used in clinical practice.Traditional esophageal gastric anastomosis can lead to severe reflux esophagitis after surgery,which affects patients′quality of life.In recent years,with the continuous popularization of laparoscopy in gastric cancer radical surgery,clinicians are constantly innovating and exploring anti-reflux digestive tract reconstruction methods after proximal gastrectomy,but there is no standard consensus yet.This article reviews the research progress of anti-reflux reconstruction after laparoscopic proximal gastrectomy,combining with the latest clinical research results,aiming to provide references for colleagues and maximize patient benefits.

关 键 词：胃肿瘤 腹腔镜检查 消化道重建 抗反流 

分 类 号：R735.2[医药卫生—肿瘤]