Functional gastrointestinal reconstruction strategies after laparoscopic proximal gastrectomy
10.3760/cma.j.cn115610-20221130-00720
- VernacularTitle:腹腔镜近端胃切除术后功能性消化道重建策略
- Author:
Xiaona WANG
1
;
Baogui WANG
;
Han LIANG
Author Information
1. 天津医科大学肿瘤医院胃部肿瘤科 国家恶性肿瘤临床医学研究中心 天津市肿瘤防治重点实验室 天津市恶性肿瘤临床医学研究中心，天津 300060
- Keywords:
Stomach neoplasms;
Adenocarcinoma of the esophagogastric junction;
Laparoscopic proximal gastrectomy;
Digestive tract reconstruction;
Gastro-esophageal re
- From:
Chinese Journal of Digestive Surgery
2023;22(1):105-112
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of adenocarcinoma of esophagogastric junction is gradually increa-sing. The metastasis of the distal lymph node of upper gastric cancer with tumor diameter <4 cm is rare, and proximal gastrectomy can meet the requirements of radical treatment. Reflux esophagitis, food stasis, anastomotic stenosis, and poor nutrient absorption are important factors affecting the quality of life of patients undergoing proximal gastrectomy. With the continuous promotion of laparoscopic radical gastrectomy, laparoscopic proximal gastrectomy with lymph node dissection has been standardized. However, the method of digestive tract reconstruction has not yet reached standardization consensus, and anti-reflux has become a hot spot in clinical attention in recent years. Through interpositioned jejunum reconstruction to achieve anti-reflux effect, or retaining or rebuilding the anti-flow structure of esophageal residual gastric anastomosis include a variety of additional anti-reflux surgery, which have their own different advantages and disadvan-tages. The authors introduce in detail a variety of mainstream anti-reflux surgery, and its modified program, with the aim of providing reference for colleagues and maximizing the benefits of patients.
