腹腔镜近端胃切除术后抗反流消化道重建术式的研究进展

Research progress of anti-reflux digestive tract reconstruction after laparoscopic proximal gastrectomy

胃上部癌和食管胃结合部癌发病率逐渐上升,近端胃切除术的安全性已得到验证,并在临床中得到广泛应用。传统的食管残胃吻合方式会导致患者术后出现严重的反流性食管炎,影响患者生活质量。近年来,腹腔镜在胃癌根治术中不断推广,临床医生们在不断探索和创新近端胃切除术后抗反流消化道重建方式,但尚未达成标准共识。本文结合最新的临床研究结果,对腹腔镜近端胃切除术后抗反流消化道重建术式的研究进展进行综述,以期为同道提供参考,让患者最大化获益。

The incidence of upper gastric cancer and esophagogastric junction cancer is gradually increasing.The safety of proximal gastrectomy has been proven and widely used in clinical practice.Traditional esophageal gastric anastomosis can lead to severe reflux esophagitis after surgery,which affects patients′quality of life.In recent years,with the continuous popularization of laparoscopy in gastric cancer radical surgery,clinicians are constantly innovating and exploring anti-reflux digestive tract reconstruction methods after proximal gastrectomy,but there is no standard consensus yet.This article reviews the research progress of anti-reflux reconstruction after laparoscopic proximal gastrectomy,combining with the latest clinical research results,aiming to provide references for colleagues and maximize patient benefits.