Application and consideration of esophagogastric anastomosis with seromuscular flap tech-nique in laparoscopic proximal gastrectomy
10.3760/cma.j.cn115610-20230905-00060
- VernacularTitle:腹腔镜近端胃切除食管胃肌瓣吻合术的应用与思考
- Author:
Chuying WU
1
;
Jianhua XU
;
Jian′an LIN
;
Wenjin ZHONG
;
Wengui KANG
;
Jintian WANG
;
Junxing CHEN
;
Huida ZHENG
;
Kai YE
Author Information
1. 福建医科大学附属第二医院胃肠食管外科，泉州 362000
- Keywords:
Stomach neoplasms;
Proximal gastric;
Digestive tract reconstruction;
Anti-reflux;
Seromuscular flap;
Laparoscopy
- From:Chinese Journal of Digestive Surgery
2023;22(S1):101-105
- CountryChina
- Language:Chinese
-
Abstract:
In the past few years, there has seen an increase in the detection rate of early upper gastric cancer. Early upper gastric cancer is of good prognosis. How to further enhance the postoperative quality of life of patients has increasingly become an issue of concern. This has naturally given rise to function-preserving proximal gastrectomy. However, due to its damage to the original structure of cardia and its vicinity, proximal gastrectomy is prone to postoperative reflux. To prevent postoperative reflux, various ways of digestive tract reconstruction have emerged one after another, but the optimal way thereof remains controversial. Therefore, reducing postoperative reflux through an appropriate way of digestive tract reconstruction has been taken as a focus of proximal gastrectomy. Esophagogastric anastomosis with seromuscular flap technique, as a way of digestive tract reconstruction, builds an "artificial cardia" on the basis of guarantee of normal entry of food into the digestive tract, and functions against postoperative reflux. For its good anti-reflux effect, eso-phagogastric anastomosis with seromuscular flap technique has gradually become a research focus. On top of the latest research progress at home and abroad and relevant evidence-based medicine, the authors provide on the principles, key points, improvement, postoperative status, and applica-tion of esophagogastric anastomosis with seromuscular flap technique in laparoscopic proximal gastrectomy.
