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中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 242 -245. doi: 10.3877/cma.j.issn.1674-3946.2022.03.002

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中国腹腔镜胃癌根治术式选择与规范化
陈凛1,(), 鲁意迅1, 张珂诚1   
  1. 1. 100853 北京,中国人民解放军总医院第一医学中心普通外科医学部
  • 收稿日期:2021-10-19 出版日期:2022-04-26
  • 通信作者: 陈凛

Selection and standardization of laparoscopic radical gastrectomy in China

Lin Chen1,(), Yixun Lu1, Kecheng Zhang1   

  1. 1. Department of General Surgery,the First Medical Center of Chinese PLA General Hospital,Beijing 100853, China
  • Received:2021-10-19 Published:2022-04-26
  • Corresponding author: Lin Chen
  • Supported by:
    National Natural Science Foundation of China(81972790, 82103593)
引用本文:

陈凛, 鲁意迅, 张珂诚. 中国腹腔镜胃癌根治术式选择与规范化[J/OL]. 中华普外科手术学杂志(电子版), 2022, 16(03): 242-245.

Lin Chen, Yixun Lu, Kecheng Zhang. Selection and standardization of laparoscopic radical gastrectomy in China[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(03): 242-245.

我国胃癌发病率高,预后不佳,疾病负担严重。手术是胃癌综合治疗的关键环节,以腹腔镜为代表的微创技术开辟了胃癌根治手术的新时代。腹腔镜胃癌根治术式涉及胃切除方式的确定、淋巴结清扫范围和消化道重建方式的合理选择。其中,以消化道重建方式为热点。随着腹腔镜技术应用日趋广泛,加快推进腹腔镜胃癌根治手术的规范化水平和整体质量的提高,有助于实现胃癌患者的最大获益。

In China,the incidence of gastric cancer(GC)is high,the prognosis is poor and the disease burden is serious.Operation is one of the key procedures for comprehensive treatment of GC.Minimally invasive techniques represented by laparoscopy have opened a new era for GC treatment.Laparoscopic radical gastrectomy involves reasonable selection of gastrectomy,lymph node dissection and digestive tract reconstruction.Among them,reconstruction of digestive tract is the hottspot. With the increasingly extensive application of laparoscopic technology,the standardization level and overall quality improvement of laparoscopic radical gastrectomy will significantly be conducive to the maximum benefit of GC patients.

[1]
Kitano SIso YMoriyama M,et al. Laparoscopy-assisted Billroth I gastrectomy[J]. Surg Laparosc Endosc19944(2):146-148.
[2]
柯重伟,郑成竹,仇明,等. 61例腹腔镜胃手术的经验总结[J]. 外科理论与实践19994(3):210-215.
[3]
陈凛,李荣,田文,等. 腹腔镜下胃癌根治术三例[J]. 中华胃肠外科杂志20047(3):175-176.
[4]
Yu JHuang CSun Y,et al. Effect of Laparoscopic vs Open Distal Gastrectomy on 3-Year Disease-Free Survival in Patients With Locally Advanced Gastric Cancer:The CLASS-01 Randomized Clinical Trial[J]. JAMA2019321(20):1983-1992.
[5]
Huang CLin MChen Q,et al. A modified delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer:a safe and feasible technique[J]. PLoS One20149(7):e102736.
[6]
Jeong OPark YK. Intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil(OrVil)after laparoscopic total gastrectomy[J]. Surg Endosc200923(11):2624-2630.
[7]
Uyama ISugioka AFujita J,et al. Laparoscopic total gastrectomy with distal pancreatosplenectomy and D2 lymphadenectomy for advanced gastric cancer[J]. Gastric,Cancer19992(4):230-234.
[8]
Inaba KSatoh SIshida Y,et al. Overlap method:novel intracorporeal esophagojejunostomy after laparoscopic total gastrectomy[J]. J Am Coll Surg2010211(6):e25-e29.
[9]
Kwon IGSon YGRyu SW. Novel Intracorporeal Esophagojejunostomy Using Linear Staplers During Laparoscopic Total Gastrectomy:pi-Shaped Esophagojejunostomy,3-in-1 Technique[J]. J Am Coll Surg2016223(3):e25-e29.
[10]
Yamashita YYamamoto ATamamori Y,et al. Side overlap esophagogastrostomy to prevent reflux after proximal gastrectomy[J]. Gastric Cancer201720(4):728-735.
[11]
Shiraishi NHirose RMorimoto A,et al. Gastric tube reconstruction prevented esophageal reflux after proximal gastrectomy[J]. Gastric Cancer19981(1):78-79.
[12]
Kuroda SNishizaki MKikuchi S,et al. Double-Flap Technique as an Antireflux Procedure in Esophagogastrostomy after Proximal Gastrectomy[J]. J Am Coll Surg2016223(2):e7-e13.
[13]
Kameyama JIshida HYasaku Y,et al. Proximal gastrectomy reconstructed by interposition of a jejunal pouch. Surgical technique[J]. Eur J Surg1993159(9):491-493.
[14]
Aikou TNatsugoe SShimazu H,et al. Antrum preserving double tract method for reconstruction following proximal gastrectomy[J]. Jpn J Surg198818(1):114-115.
[15]
《近端胃切除消化道重建中国专家共识》编写委员会. 近端胃切除消化道重建中国专家共识(2020版)[J]. 中华胃肠外科杂志202023(2):101-108.
[16]
陈凛,李少卿,张珂诚. 中国腹腔镜胃癌手术20年回顾与展望[J/CD]. 中华普外科手术学杂志(电子版)202115(2):119-122.
[17]
中国医师协会内镜医师分会腹腔镜外科专业委员会,中国研究型医院学会机器人与腹腔镜外科专业委员会,中国腹腔镜胃肠外科研究组. 中国腹腔镜胃癌根治手术质量控制专家共识(2017版)[J]. 中华消化外科杂志201716(6):539-547.
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