腹腔镜全胃切除术消化道重建方式的安全性评估  

Safety evaluation of digestive tract reconstruction after lapa⁃roscopic total gastrectomy

作　　者：李子禹[1] 吴舟桥[1] 陕飞[1] 季加孚[1] Li Ziyu;Wu Zhouqiao;Shan Fei;Ji Jiafu(The First Ward of Department of Gastrointestinal Surgery,Key Laboratory of Carcinogenesis and Translational Research(Minis-try of Education),Peking University Cancer Hospital&Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心外科一病区,恶性肿瘤发病机制及转化研究教育部重点实验室,100142

出　　处：《中华消化外科杂志》2020年第9期941-945,共5页Chinese Journal of Digestive Surgery

基　　金：北京市科技计划课题(D141100000414004,D141100000414002);白求恩基金会卓越外科基金。

摘　　要：腹腔镜全胃切除术消化道重建一直是胃外科关注的热点与难点。腹腔镜手术中应用直线切割吻合器、圆形吻合器、手工缝合等不同方式完成消化道重建的临床技术特点及其优缺点,已形成业内共识。但是,针对不同消化道重建方式的安全性评估,目前仍然缺乏足够的临床证据。笔者结合目前的临床研究进展及其医疗中心的临床实践,总结并探讨腹腔镜全胃切除术后常用消化道重建方式的安全性评估现状及方法。The digestive tract reconstruction after laparoscopic total gastrectomy has always been a hotspot but a difficult subject as well in gastric cancer surgery.The clinical technical characteristics and advantages of different digestive tract reconstruction methods by using linear stapler,circular stapler or hand-sewn anastomosis in laparoscopic surgery have formed consensuses.However,there is still insufficient clinical evidence for the safety evaluation of different digestive tract reconstruction methods.Combined with current clinical research progress and their clinical practice,the authors summarize and investigate the status and methods of safety evaluation of common digestive tract reconstruction after laparoscopic total gastrectomy.

关 键 词：胃肿瘤 消化道重建 安全性评估 临床研究 腹腔镜检查 

分 类 号：R735.2[医药卫生—肿瘤]