空肠代食管术在食管外科中的现状与展望  

Current situation and prospects of jejunal conduit for esophageal reconstruction

作　　者：潘小杰[1] 赵力澜 陈文树[1] 李武锦 林招贤[1] 郭天兴[1] 朱立桓 欧德彬[1] PAN Xiaojie;ZHAO Lilan;CHEN Wenshu(Department of Thoracic Surgery,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院胸外科,福州350001

出　　处：《临床外科杂志》2021年第8期788-792,共5页Journal of Clinical Surgery

摘　　要：空肠代食管术是既往有胃切除史或同期行食管胃切除术病人重建消化道的一种可选术式。该术式一般是指切取一段带蒂血管的空肠,将其提入胸腔或颈部,近端与近段食管吻合、远端保持空肠连续性的一种手术,用于不能用胃或结肠代替食管的情况。空肠管具有血液循环丰富,肠腔开放后手术野的污染机会少等优点。我们回顾了使用空肠管进行食管重建的相关文献,对其手术方式、短期与长期预后和生活质量等结果进行了讨论。未来需要对空肠代食管术进行前瞻性研究,以确定最佳的消化道重建方式。Jejunal interposition is an alternative reconstructive method for patients with a history of gastrectomy or underwent simultaneously esophagogastrectomy. This operation generally refers to an operation in which a segment of jejunum with a pedicled blood vessel is lifted into the thoracic cavity or neck,the proximal end is anastomosed with the proximal esophagus,while the distal end maintains the continuity of the jejunum. Used in cases where the esophagus cannot be replaced by the stomach or colon.The jejunal conduit has several advantages including rich blood supply and less chance of contamination after the intestinal cavity is opened. We reviewed the literatures on the use of the jejunal interposition,and discussed the surgical methods,short-term and long-term outcomes,as well as the quality of life. In the future,prospective investigations about jejunal interposition are required to determine the best way for digestive tract reconstruction.

关 键 词：空肠代食管 肠管 食管癌 

分 类 号：R655.4[医药卫生—外科学]