功能保留性胃切除术后消化道重建术式的分类及选择策略  

A novel classification and strategy choice of digestive tract reconstruction procedures after function-preserving gastrectomy for early gastric caner

作　　者：崔昊 卫勃[1] Cui Hao;Wei Bo(Department of General Surgery,The First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心普通外科医学部,北京100853

出　　处：《中华胃肠外科杂志》2021年第5期392-396,共5页Chinese Journal of Gastrointestinal Surgery

基　　金：国家重点研发计划(2019YFB1311505);国家自然科学基金(82073192,81773135);解放军总医院杰青培育专项基金(2017-JQPY-003)。

摘　　要：胃癌保功能手术可以看做是胃癌精准化治疗的具象化体现。消化道重建作为胃癌手术的关键步骤,在保功能手术中同样起到举足轻重的作用。消化道重建目的主要包括保留正常生理通道和消化功能、保留和重建重要结构及最终提升患者术后生活质量。本文就消化道重建在早期胃癌保功能手术中的作用,尝试建立了一套新的分级系统,以期对外科医生合理选择胃保功能手术消化道重建方式提供参考。Function-preserving gastrectomy(FPG)can be regarded as a concrete embodiment of precise treatment for early gastric cancer.Digestive tract reconstruction plays an important role in FPG.The aims of reconstruction mainly include the preservation of normal digestive tract and digestive function,the reconstruction of pivotal anatomical structure,and the consequent improvement of postoperative quality of life.We establish a new classification of digestive tract reconstruction based on the different role of digestive tract reconstructions in FPG for early gastric cancer,meanwhile we briefly summarize current progress and elucidate surgical indications.We hope that it can provide theoretical reference for surgeons to choose the appropriate procedure of digestive tract reconstruction after FPG.

关 键 词：胃肿瘤 早期 消化道重建 保功能 适应证 

分 类 号：R735.2[医药卫生—肿瘤]