近端胃切除术后双通道吻合的研究进展  

Research progression and prospect of double-tract reconstruction after proximal gastrectomy

作　　者：李啸文 王海江[1] 王盼兴 刘家煌 车向明[1] LI Xiaowen;WANG Haijiang;WANG Panxing;LIU Jiahuang;CHE Xiangming(Department of General Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710061,China)

机构地区：[1]西安交通大学医学院第一附属医院普通外科,陕西西安710061

出　　处：《现代肿瘤医学》2021年第17期3109-3113,共5页Journal of Modern Oncology

基　　金：国家自然科学基金(编号:81472245)。

摘　　要：近年来,胃癌的总体发病率和死亡率在全世界都呈现上升趋势,其中近端胃癌(包括胃上部癌和食管胃结合部癌)发病率显著升高,严重威胁人类健康。全胃切除术和近端胃切除术是目前治疗近端胃癌的主要手术方式。近端胃切除术可缩小手术范围,且能最大程度保留胃的正常功能而逐渐受到关注,但该术式术后易发生反流性食管炎,影响患者生活质量。对于近端胃切除术后消化道重建方式的选择,如何保证患者术后的生活质量,降低术后胃食管反流症状的发生率是焦点。双通道消化道重建方式作为一种具有较好的抗返流效果的术式,受到国内外众多专家学者的认可。本文将回顾近年来关于近端胃切除术后双通道消化道重建术式的研究,并对未来的发展加以展望。In recent years,the incidence and mortality of gastric cancer showed an upgrade trend worldwide.Especially the incidence of proximal gastric cancer(including upper gastric cancer and esophagogastric junction cancer)has increased quite significantly,which has become a huge threat to human health.Total and proximal gastrectomies are still the most commonly used surgeries for gastric cancer now.More attention has been paid to proximal gastrectomy because it reduces the scope of operation and retains the function of the stomach.But the gastroesophageal reflux is easy to occur after this operation,affecting the quality of life of the patients.As to reconstruction after proximal gastrectomy,the focus of controversy is that how to ensure the quality of life of the patients and reduce the incidence of gastroesophageal reflux.Double-tract has been recognized by many experts and scholars as a great anti-reflux surgery.This article reviews the recent studies in double-tract reconstruction after proximal gastrectomy and prospects its development.

关 键 词：近端胃 双通道 抗返流 

分 类 号：R735.2[医药卫生—肿瘤]