腹腔镜全胃切除术腔内食管空肠吻合的研究进展

Updates of intracorporeal esophagojejunal anastomosis during laparoscopic total gastrectomy for gastric cancer

近年来,腹腔镜根治性全胃切除术治疗中上部胃癌逐步在有条件的单位开展,但食管空肠吻合仍是该手术方式所面临的关键难题.区别于传统小切口辅助腔外重建,部分学者开始尝试完全腹腔镜食管空肠吻合以取得更优的操作稳定性及更佳的微创效果,最终期待通过这样的技术降低消化道重建难度.

In recent years,laparoscopic total gastrectomy （LTG） with lymphadenectomy is increasingly utilized for the management of gastric cancer located in the middle or upper third of the stomach.However,esophagojejunostomy is the key technical difficulty in operation.Compared with conventional extracorporeal esophagojejunostomy via mini-laparotomy,pioneers are attempting to perform intracorporeal anastomosis in order to gain better manipulation and minimally invasive benefits,as well as reducing the difficulties in digestive tract reconstruction.