腹腔镜胃癌根治术中吻合方式和消化道重建的现状

The Status of Anastomosis and Gastrointestinal Reconstruction During Laparoscopic Radical Gastrectomy

随着腹腔镜技术的发展,腹腔镜下胃癌根治术已在临床上广泛开展,其中常见的手术方式包括腹腔镜下近端胃癌根治术、远端胃癌根治术和全胃切除术等。在保证肿瘤根治性的前提下,以最少的创伤与最安全的吻合给患者带来最大的获益是腹腔镜手术的发展方向,术中消化道重建则是腹腔镜下胃癌根治术的关键环节,也是手术的难点所在。本文就腹腔镜下胃癌根治术术中的吻合方式和消化道重建现状和进展进行综述,服务于临床,为手术医生提供思路和参考。

With the development of laparoscopic technology,laparoscopic radical gastrectomy has been widely carried out clinically.Among them,common surgical methods include laparoscopic radical gastrectomy for proximal gastric cancer,radical gastrectomy for distal gastric cancer,and total gastrectomy.Under the premise of ensuring the radicalness of the tumor,the greatest benefit to the patient with the least trauma and the safest anastomosis is the development direction of laparoscopic surgery,and intraoperative digestive tract reconstruction is the key link for laparoscopic radical gastrectomy,is also the difficulty of surgery.This article summarizes the anastomosis methods and the status and progress of gastrointestinal reconstruction during laparoscopic radical gastrectomy.It serves the clinic and provides ideas and references for the surgeon.