近端胃癌腹腔镜手术消化道重建吻合术相关并发症的预防和处理  

Prevention and treatment of complications in laparoscopic gastrointestinal reconstruction anastomosis after proximal gastrectomy

作　　者：熊文俊 林泽宇 陈妍[1] 王涛 罗立杰 张子敬[1] 王伟 Xiong Wenjun;Lin Zeyu;Chen Yan;Wang Tao;Luo Lijie;Zhang Zijing;Wang Wei(Department of Gastrointestinal Surgery,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Clinical Research Academy of Chinese Medicine,Guangzhou 510405,China;The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第一附属医院胃肠外科、广东省中医临床研究院,广州510405 [2]广州中医药大学第一临床医学院,广州510405

出　　处：《中华消化外科杂志》2024年第12期1497-1504,共8页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82205109);广州市科技计划市校(院)联合资助项目(2024A03J0043);广州市科技计划基础与应用基础研究专题(2023A04J0453);广州中医药大学第一附属医院配套科研经费(09005647001);吴阶平医学基金会(320.6750.2024‑07‑2)。

摘　　要：腹腔镜食管空肠(胃)吻合术的解剖位置特殊,空间狭窄,操作难度大,术中并发症发生率高,在食管胃结合部腺癌根治术中,这个问题尤为突出。伴随腹腔镜技术日趋成熟,掌握腹腔镜食管空肠(胃)吻合术中并发症的预防及处理方法可以更好地完成手术操作、缩短手术时间、减少术中和术后并发症的发生。笔者查阅相关文献并结合团队经验,概述腹腔镜食管空肠(胃)吻合术的相关并发症,总结其预防和处理技巧,旨在提高手术成功率,降低手术并发症发生率。The incidence of intraoperative complications is high in laparoscopic esophagojejunostomy(esophagogastrostomy),due to the unique anatomical location,confined space,and operational difficulty of the surgical procedure,especially in the radical resection of adenocarcinoma of esophagogastric junction.With the increasing maturity of laparoscopic technology,mastering the strategies of prevention and treatment of complications in laparoscopic esophagojejunostomy(esophagogastrostomy)can enhance surgical performance,reduce operation time,and minimize intraoperative and postoperative complications.Based on relevant literatures and team′s experience,the authors overview of the related complications of laparoscopic esophagojejunostomy(esophagogastrostomy)and summarize the prevention and treatment techniques,in order to improve the success rate of the operation and reduce the incidence of surgical complications.

关 键 词：胃肿瘤 消化道重建 术中并发症 食管空肠(胃)吻合 手术 治疗 腹腔镜检查 

分 类 号：R735.2[医药卫生—肿瘤]