History and present situation of seromuscular flap anastomosis in proximal gastrectomy.
10.3760/cma.j.cn441530-20211019-00419
- Author:
Lin Guang FAN
1
;
Ke Chang ZHANG
1
;
Peng CUI
2
;
Liang ZONG
2
;
Wei WEI
2
;
Jie WANG
2
;
Qi Sheng CHENG
2
;
Jin Jie ZHANG
3
;
Yong LIU
2
;
Yin Hao YANG
2
;
Mao Jie ZHANG
2
;
Wen Qing HU
2
Author Information
1. Graduate Department of Changzhi Medical College, Changzhi 046000, China Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.
2. Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.
3. Heji Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.
- Publication Type:Review
- Keywords:
Antireflux;
Double flap anastomosis;
Proximal gastrectomy;
Seromuscular flap anastomosis
- MeSH:
Anastomosis, Surgical/methods*;
Esophagogastric Junction/surgery*;
Gastrectomy/methods*;
Gastroesophageal Reflux/surgery*;
Humans;
Quality of Life;
Stomach Neoplasms/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(5):466-470
- CountryChina
- Language:Chinese
-
Abstract:
With the increasing detection rate of early upper gastric cancer and adenocarcinoma of esophagogastric junction, the safety of proximal gastrectomy with clear indications has been verified, and function-preserving proximal gastrectomy has been widely used. However, proximal gastrectomy destructs the normal anatomical structure of esophagogastric junction, resulting in severe postoperative gastroesophageal reflux symptoms and seriously affecting the quality of life. Among various anti-reflux surgery methods, reconstruction of "cardiac valve" has always been the focus of relevant scholars because its similarity with the mechanism of normal anti-reflux. After years of development, evolution and optimization, the designed seromuscular flap anastomosis includes tunnel muscle flap anastomosis, Hatafuku valvuloplasty, single muscle flap anastomosis and double muscle flap anastomosis. The double muscle flap anastomosis has become a research hotspot because it shows good anti-reflux effect in clinical application. This paper reviews the history, research status and hot issues of seromuscular flap anastomosis of esophageal remnant stomach at home and abroad.
