Hot issues and rational reflection on digestive tract reconstruction after totally laparoscopic total gastrectomy
10.3760/cma.j.cn115610-20200826-00585
- VernacularTitle:全腹腔镜全胃切除术消化道重建的热点问题和理性思考
- Author:
Xiang HU
1
Author Information
1. 大连医科大学附属第一医院普通外科 116011
- From:
Chinese Journal of Digestive Surgery
2020;19(9):925-930
- CountryChina
- Language:Chinese
-
Abstract:
The safety and standardization in the technical evolution of totally laparoscopic total gastrectomy are yet to be established. Clinical researches and technical innovations have laid a solid foundation for the maturity of totally laparosco-pic total gastrectomy for the patients with advanced gastric cancer. In the view of the author, focus issues of digestive tract reconstruction after totally laparoscopic total gastrectomy include D 2, D 2+ lymph node dissection technology (splenic lymph node dissection, lower mediastinal lymph node dissection, abdominal para-aortic lymph node dissection), rational selection of digestive tract reconstruction methods with anti-reflux effect, food storage capacity and the best quality of life, and safe anastomosis or suture technique of esophagojejunostomy.
