Quality control of digestive tract reconstruction after proximal gastrectomy
10.3760/cma.j.cn441530-20231101-00155
- VernacularTitle:近端胃切除消化道重建方式实施的质量化控制
- Author:
Zekuan XU
1
;
Linjun WANG
;
Peiyuan LI
;
Han GE
Author Information
1. 南京医科大学第一附属医院普通外科，南京 210029
- Keywords:
Stomach neoplasms;
Proximal gastrectomy;
Digestive tract reconstruction;
Quality control
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(2):153-157
- CountryChina
- Language:Chinese
-
Abstract:
With the increasing incidence of esophagogastric junction carcinoma, the application rate of proximal gastrectomy has been rising annually. There is a wide variety of methods for digestive tract reconstruction after proximal gastrectomy, and some of these reconstruction methods have been introduced relatively recently, with limited clinical experience, which led to a lack of standardization. Such a situation will inevitably result in inconsistent clinical outcomes of proximal gastrectomy with digestive tract reconstruction. To promote the standardization of digestive tract reconstruction after proximal gastrectomy, improve the clinical efficacy of proximal gastrectomy, and reduce the occurrence of postoperative complications, this article elaborates on the indications, surgical steps and technical points of the four methods after proximal gastrectomy recommended by the "Chinese consensus on digestive tract reconstruction after proximal gastrectomy (2020 edition)", such as double tract, side overlap, double flaps and gastric tube reconstruction, providing guidance for the application of digestive tract reconstruction after proximal gastrectomy.
