腹腔镜手术中胃食管结合部显露技术的研究进展

Reviews of Exposure Technology of Gastroesophageal Region in Laparoscopic Surgery

目的探讨腹腔镜下行上腹部手术时显露胃食管结合部的各种技术及优缺点。方法查阅国内外在腹腔镜下行上腹部手术时胃食管结合部的显露方法的相关文献并进行综述。结果腹腔镜手术中胃食管结合部位显露技术目前主要有拉钩法、悬吊法及黏贴法,而每种方法各有其优点和缺点。结论腹腔镜下上腹部手术中,如何选择最佳的胃食管结合区的显露方法应结合手术及患者的具体情况等多方面考虑。

Objective To explore various exposure technology of gastroesophageal region and their advantages and disadvantages by laparoscopic surgery in upper abdominal. Method The related literatures on various exposure technology of gastroesophageal region by laparoscopic surgery in upper abdominal at home and abroad in recent years were collected and reviewed. Results Now, there were main three exposure technologies of gastroesophageal region by laparoscopic surgery in upper abdominal, including traditional retractor liver retraction, suspension liver retraction, and adhesion liver retraction. Each method had its own advantages and disadvantages. Conclusion The most suitable exposure method of gastroesophageal region by laparoscopic surgery in upper abdominal should be selected according to situations of surgery and patient.