近端胃切除术后保功能手术现状  

Currentstatus in function-preserving surgery after proximal gastrectomy

作　　者：叶再生[1] 陈书[1] 魏晟宏[1] 曾奕[1] 王益[1] 陈路川[1] YE Zaisheng;CHEN Shu;WEI Shenghong;ZENG Yi;WANG Yi;CHEN Luchuan(Department of Gastrointestinal Surgical Oncology, Fujian Cancer Hospital /Fujian Medical University Cancer Hospital, Fuzhou 350014, China)

机构地区：[1]福建医科大学附属肿瘤医院(福建省肿瘤医院)胃肠外科,福建福州350014

出　　处：《中国肿瘤外科杂志》2021年第5期430-435,共6页Chinese Journal of Surgical Oncology

基　　金：福建省卫健委中青年骨干人才培养项目(2019-ZQN-16)。

摘　　要：在保证根治性切除的前提下,保留功能的缩小手术是恶性肿瘤治疗研究的一个方向。目前,胃-食管结合部腺癌及高位胃体、胃底癌的主流手术方式仍然是全胃切除术。然而,全胃切除术后患者不可避免出现营养代谢障碍。近端胃切除术由于保留胃部分功能,患者术后营养状况优于全胃切除术。但传统的近端胃吻合方式会导致严重的反流,影响患者的生存质量。因此近端胃的改良术式应运而生,为此作者将目前国内外主流的近端胃改良术式做一个总结阐述,为临床上近端胃切除术消化道重建方式提供依据。On the premise of ensuring radical resection,function preserving reduction surgery is a research direction.At present,total gastrectomy is still the mainstream method for gastric esophageal junction adenocarcinoma,high gastric body and gastric fundus cancer.However,nutritional metabolic disorders are inevitable in patients after total gastrectomy.The nutritional status of patients after proximal gastrectomy is better than that of total gastrectomy because of retaining part of gastric function.However,the traditional proximal gastric anastomosis will lead to serious reflux and affect the quality of life of patients.Therefore,the improved operation of proximal stomach came into being.This paper summarizes the mainstream improved operation of proximal stomach at home and abroad,so as to provide a basis for the reconstruction of digestive tract after proximal gastrectomy.

关 键 词：胃癌 近端胃切除 消化道重建 保功能手术 

分 类 号：R73[医药卫生—肿瘤]