Application value of self-pulling and latter transection combined with dual anti-reflux tech-nique in dual-tract reconstruction of total laparoscopic proximal gastrectomy
10.3760/cma.j.cn115610-20210802-00373
- VernacularTitle:自牵引后离断联合双重抗反流技术在全腹腔镜近端胃切除双通道消化道重建中的应用价值
- Author:
Kai TAO
1
;
Jianhong DONG
;
Qingxing HUANG
Author Information
1. 山西省肿瘤医院消化微创外科中心 山西省胃癌中心，太原 030013
- Keywords:
Stomach neoplasms;
Adenocarcinoma of the esophagogastric junction;
Double tract reconstruction;
Proximal gastrectomy;
Self-pulling and latter transec-tion
- From:Chinese Journal of Digestive Surgery
2021;20(9):949-954
- CountryChina
- Language:Chinese
-
Abstract:
Along with the changes in the epidemiology of gastric cancer in China, the early diagnosis and treatment rate of adenocarcinoma of esophagogastric junction has elevated signifi-cantly, while its surgical methods have also altered and become a hotspot. Total gastrectomy has become the primary surgical allocation for adenocarcinoma of esophagogastric junction. In recent years, a series of studies on proximal gastrectomy and digestive reconstruction after distal stomach preserving have been explored due to recent concept of functional preservation. The main concern about this surgical method is the efficacy of anti-reflux and its influence on nutritional prognosis. Interpositioned jejunum and double tract reconstruction have curative effects. However, they become obstacles for total laparoscopic surgery due to the complexity of surgical operation. Thus there is increasing concern to explor the way to reduce the reflux rate and improve the nutritional status of patients. Baesd on related research at home and abroad, combined with their own experiences, the authors comprehensively analyze and illustrate self-palling and latter transection with esophagojejunostomy and double anti-reflux double tract reconstruction of total laparoscopic proximal gastrectomy.
