腹腔镜胃癌根治术消化道重建相关并发症防治中国专家共识(2022版)

Chinese expert consensus on prevention and treatment of complications related to digestive tract reconstruction after laparoscopic radical gastrectomy for gastric cancer(2022 edition)

根据胃癌的肿瘤位置与分期的不同,临床上会分别选择远端胃癌根治术、根治性全胃切除术以及近端胃癌根治术等进行治疗。无论何种胃癌根治性手术方式,消化道重建都是胃癌手术的重要环节,也是并发症发生的主要部分。手术并发症的出现直接影响患者的治疗效果和术后生活质量,甚至导致死亡,产生前功尽弃的严重后果!因此,在腹腔镜手术如火如荼地开展中,如何安全地进行消化道重建以减少相关并发症的发生,以及如何妥善有效地处理并发症,将有利于整体提升我国胃癌的治疗水平。本共识主要针对消化道重建过程中和术后近期可能发生的并发症,从发生原因、预防措施和治疗措施等方面,经过查阅大量资料并结合临床实践,在反复征求国内权威专家们的意见和讨论修改后形成专家共识,为我国外科医生提高胃癌根治性切除术消化道重建并发症的防治水平提供了有效的参考。

According to the different tumor locations and stages of gastric cancer,distal radical gastrectomy,radical total gastrectomy and proximal radical gastrectomy for gastric cancer are respectively selected in clinical practice.Regardless of the type of radical gastrectomy,digestive tract reconstruction is of great importance to gastrectomy,and it is also susceptible to related surgical complication.The occurrence of surgical complications directly affects the efficacy and postoperative quality of life,and even leads to death,resulting in serious consequences of giving up all previous efforts!Therefore,in the era of laparoscopic surgery,how to safely perform digestive tract reconstruction to reduce the occurrence of related complications,and how to properly and effectively deal with complications will be helpful to improve the overall level of gastric cancer treatment in China.This consensus is mainly aimed at the complications that occur during the process of digestive tract reconstruction and in the recent postoperative period.From the aspects of causes,preventive measures and treatment measures,after extensive review of data and combination with clinical practice,the opinions of domestic authoritative experts have been repeatedly collected and discussed.Finally,an expert consensus was formed,which provided an effective reference for Chinese surgeons to improve the prevention and treatment of complications of gastrointestinal reconstruction after radical resection of gastric cancer.