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中华普外科手术学杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 1 -4. doi: 10.3877/cma.j.issn.1674-3946.2025.01.001.

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全腹腔镜下全胃切除术食管空肠吻合的临床研究进展
李国新1,2,(), 陈新华2   
  1. 1.102218 北京,北京清华长庚医院胃肠外科
    2.510515 广州,南方医科大学南方医院普通外科,广东省胃肠肿瘤精准微创诊疗重点实验室
  • 收稿日期:2024-09-01 出版日期:2025-02-26
  • 通信作者: 李国新
  • 基金资助:
    广东省胃肠肿瘤精准微创诊疗重点实验室(2020B121201004)

Progress of clinical research on esophagojejunal anastomosis after total laparoscopic gastrectomy

Guoxin Li1,2,(), Xinhua Chen2   

  1. 1.Department of General Surgery,Beijing Tsinghua Changgung Hospital,Beijing 102218,China
    2.Department of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor,Nanfang Hospital,Southern Medical University,Guangzhou Guangdong Province 510515,China
  • Received:2024-09-01 Published:2025-02-26
  • Corresponding author: Guoxin Li
引用本文:

李国新, 陈新华. 全腹腔镜下全胃切除术食管空肠吻合的临床研究进展[J]. 中华普外科手术学杂志(电子版), 2025, 19(01): 1-4.

Guoxin Li, Xinhua Chen. Progress of clinical research on esophagojejunal anastomosis after total laparoscopic gastrectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 1-4.

全腹腔镜下全胃切除术是胃外科领域中技术难度最高的手术,其中食管空肠吻合目前仍存在较大的技术挑战,成为制约该技术发展的瓶颈,在一定程度上妨碍了其应用与普及。目前,临床常用的吻合方法主要包括管状吻合、直线切割吻合以及手工缝合。对于如何更高效、更安全地实现食管空肠吻合,是从事腹腔镜胃癌外科医师们亟需关注的临床议题。笔者回顾了全腹腔镜下全胃切除术中食管空肠吻合的临床研究进展,并结合个人临床实践与经验,探讨了食管空肠吻合技术的发展方向。

laparoscopic total gastrectomy, a complex procedure in gastric surgery, encounters technical difficulties with esophagojejunal anastomosis, which slows its progression and hinders its application.Currently, the most common methods for this anastomosis include circular stapler, linear stapler, and hand suturing anastomosis techniques.The challenge of achieving an efficient and safe esophagojejunal anastomosis is a pressing clinical issue for surgeons.This article reviews the progress of intracorporeal esophagojejunal anastomosis in laparoscopic total gastrectomy and proposes future directions based on personal experience and practice.

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