管状胃在食管癌切除术中的应用进展

Application Development of Gastric Tube in Esophagectomy

目前管状胃替代食管的方式在食管癌手术中已被广泛采用,正逐渐替代传统的全胃代食管术式,管状胃的优势在临床中也被越来越广泛地证明。其并发症、近期效果及远期生存质量都优于其它食管重建术式。虽然管状胃代食管术式已成为食管外科专家的共识,但在临床应用上仍有许多细节和问题值得进一步研究探讨,并在今后的应用中不断改善。本文将对管状胃目前在临床上的应用现状及进展,从管状胃的制作、优势以及未来前景进行综述,并对存在的问题进行讨论。

Using gastric tube to replace the esophagus has been widely used in esophagectomy. This surgical method is gradually replacing the traditional stomach reconstruction. Its advantages in the incidence of postoperative complication, the quality of life and the long-time survival in clinic have proved to be true. Although using tubular stomach in esophagectomy has become the consensus of experts, some details still need some further discussing and this technique should be gradually improved in future. In this review, the superiority and the technical progress of gastric tube are introduced, and we predict the future of tubular stomach and discuss the existed problems.