全腹腔镜全胃切除腔内消化道重建术式研究进展  

Advances of endoluminal reconstruction of digestive tract in totally laparoscopic total gastrectomy

作　　者：王西让 何洪芹 Wang Xirang;He Hongqin

机构地区：[1]承德医学院,067000 [2]沧州市人民医院肛肠外科,061000

出　　处：《国际外科学杂志》2020年第4期280-284,共5页International Journal of Surgery

摘　　要：随着腹腔镜器械的改进及外科腔镜下技术的提高,腹部微创手术得到快速发展,腹腔镜胃癌手术也正逐渐走向成熟。对于胃上部癌、胃体癌、皮革胃患者来说,全腹腔镜全胃切除术(TLTG)作为一种微创术式被广泛应用于临床,更小的手术创伤使患者更快的康复,明显提高了患者围手术期生活质量,已成为治疗胃癌,特别是早期可切除胃癌的主要方式之一。TLTG的技术要点和难点是如何在全腹腔镜视野下完成消化道重建,全腔镜下食管空肠吻合是TLTG消化道重建的难点,因此探讨TLTG消化道重建方式成为临床工作者的研究重点。本文就TLTG消化道常见术式作一综述,以期更好地为临床术式选择提供参考。With the improvement of laparoscopic instruments and laparoscopic surgical techniques,Abdominal minimally invasive surgery has developed rapidly,and laparoscopic gastric cancer surgery is also gradually becoming mature.For upper stomach cancer,gastric corpus cancer,linitis plastica,total laparoscopic total gastrectomy(TLTG)as a minimally invasive operation is widely used in clinical treatment of gastric cancer.Smaller surgical trauma,faster recovery,significantly increased perioperative quality of patients’life.The technical points and difficulties of TLTG are how to complete digestive tract reconstruction under full laparoscopic monitoring.Totally laparoscopic esophagus jejunum anastomosis is a key problem for TLTG digestive tract reconstruction.Therefore,to explore the way of TLTG digestive tract reconstruction has become the focus of clinical researchers.The article will review the common surgical methods of TLTG digestive tract reconstruction in order to provide a better reference for the selection of clinical surgical methods.

关 键 词：胃肿瘤 腹腔镜 胃肠吻合术 全胃切除术 消化道重建 

分 类 号：R735[医药卫生—肿瘤]