Digestive tract reconstruction after laparoscopic proximal gastrectomy and the application prospect of esophagogastric anastomosis with double flap technique
10.3760/cma.j.cn115610-20220206-00067
- VernacularTitle:腹腔镜近端胃切除术后消化道重建方式及食管胃双肌瓣吻合应用前景
- Author:
Xinhua LIAO
1
;
Guanglin QIU
;
Mengke ZHU
;
Shangning HAN
;
Xingxing WEI
;
Xiangming CHE
;
Lin FAN
Author Information
1. 西安交通大学第一附属医院普通外科，西安 710061
- Keywords:
Stomach neoplasms;
Early;
Upper stomach;
Proximal gastrectomy;
Double flap anastomosis;
Treatment effects;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2022;21(3):355-361
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic proximal gastrectomy (LPG) can be selected for the treatment of early upper gastric carcinoma, but gastroesophageal reflux after operation would seriously affect the quality of life of patients. Esophagogastric anastomosis with double flap technique is a digestive tract reconstruction method using the anastomosis between the esophagus and the anterior wall of the stomach. Compared with other digestive tract reconstruction methods, esophagogastric anastomosis with double flap technique can maintain the postoperative body mass of patients in good condition, improve the nutritional status and the long-term quality of life of patients. Esophagogastric anasto-mosis with double flap technique has good anti reflux effects and retain the possibility of endoscopic examination and treatment. By reviewing literatures at home and abroad, and combined with clinical experiences, the authors discuss current status and digestive tract reconstruction methods of LPG, and deeply investigate the application prospect of esophagogastric anastomosis with double flap technique.
