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中华普外科手术学杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 5 -8. doi: 10.3877/cma.j.issn.1674-3946.2025.01.002.

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食管胃结合部腺癌腹腔镜手术重建方式的选择
李子禹1,(), 卢信星1, 李双喜1, 陕飞1   
  1. 1.北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心,恶性肿瘤发病机制及转化研究教育部重点实验室
  • 收稿日期:2024-08-15 出版日期:2025-02-26
  • 通信作者: 李子禹
  • 基金资助:
    国家自然科学基金面上项目(82373438)北京市科技计划课题(D171100006517004)

The selection of reconstruction methods in laparoscopic surgery for adenocarcinoma of esophagogastric junction

Ziyu Li1,(), Xinxing Lu1, Shuangxi Li1, Fei Shan1   

  1. 1.Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing),Gastrointestinal Cancer Center,Peking University Cancer Hospital and Institute,Beijing 100142,China
  • Received:2024-08-15 Published:2025-02-26
  • Corresponding author: Ziyu Li
引用本文:

李子禹, 卢信星, 李双喜, 陕飞. 食管胃结合部腺癌腹腔镜手术重建方式的选择[J]. 中华普外科手术学杂志(电子版), 2025, 19(01): 5-8.

Ziyu Li, Xinxing Lu, Shuangxi Li, Fei Shan. The selection of reconstruction methods in laparoscopic surgery for adenocarcinoma of esophagogastric junction[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 5-8.

胃癌在全球范围内的发病率和死亡率分别位居第五位和第四位。虽然全球范围内胃癌的总体发病率在下降,但食管胃结合部腺癌(AEG)的发病率却在逐渐上升。近年来,腹腔镜手术创伤小、恢复快、术后并发症少等优点,已成为治疗AEG的重要手段。本文综述和讨论了腹腔镜全胃切除和近端胃切除术后的消化道重建方法,包括食管空肠Roux-en-Y吻合、食管管状胃吻合、双肌瓣吻合等及其衍生技术。通过分析各种重建方式的优缺点,旨在为临床手术提供指导,改善患者术后生活质量。

The incidence and mortality rates of gastric cancer rank fifth and fourth globally,respectively.Although the overall incidence of gastric cancer is declining worldwide, the incidence of adenocarcinoma of esophagogastric junction (AEG) is on the rise.In recent years, laparoscopic surgery has become an important method for treating AEG due to its minimal invasiveness, rapid recovery, and fewer postoperative complications.This article reviews and discusses the digestive tract reconstruction methods following laparoscopic total and proximal gastrectomy, including Roux-en-Y, tubular esophagogastrostomy,double-flap technique, and their derivative techniques.By analyzing the advantages and disadvantages of various reconstruction methods, this review aims to provide clinical surgical guidance and improve patients'postoperative quality of life and long-term outcomes.

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