Current status and prospect of proximal gastrectomy modified muscle flap anastomosis
10.3760/cma.j.cn115610-20230104-00006
- VernacularTitle:近端胃切除改良肌瓣吻合手术方式的现状和展望
- Author:
Peng CUI
1
;
Dongyang SONG
;
Wenqing HU
Author Information
1. 山西省恶性肿瘤（食管胃结合部癌）临床医学研究中心 长治医学院附属长治市人民医院胃肠外科，长治 046099
- Keywords:
Stomach neoplasms;
Proximal gastrectomy;
Muscle flap anastomosis;
Anti-reflux;
Surgical procedures;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2023;22(3):338-343
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, the incidence of proximal gastric cancer and early gastric cancer as well as the proportion of proximal gastrectomy has been increased year by year. However, severe reflux esophagitis will occur after proximal gastrectomy, which will affect the quality of life of patients after operation. Therefore, the research on anti-reflux surgery has become a focus in the field across the world in recent years. Due to closing to the normal cardiac physiological structure, double muscle flap anastomosis has a good anti-reflux effect in proximal gastrectomy, which has been widely verified in clinical application. However, due to the disadvantages of traditional double muscle flap anastomosis, such as complex operation, long learning curve and high rate of anastomotic stenosis, researchers at home and abroad have continuously tried various modified muscle flap anastomosis. Among which, the modified double muscle flap anastomosis based on using the double barbed sutures has showed encouraging effects. At mean time, laparoscopic double muscle flap anastomosis through the left diaphragm muscle in the left thoracic cavity also further expands the application of double muscle flap anastomosis. The authors consult relevant research and focus on the discussion of current status and prospect of different modified muscle flap anastomosis in proximal gastrec-tomy, in order to promote the popularization and application of muscle flap anastomosis.
