中国实用外科杂志

中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (08): 616-618.

• 专题笔谈 • 上一篇    下一篇

腹腔镜辅助胃癌根治术后消化道重建方式合理选择

黄昌明，林建贤   

  1. 福建医科大学附属协和医院胃外科，福建福州350001
  • 出版日期:2012-08-01 发布日期:2012-07-30

  • Online:2012-08-01 Published:2012-07-30

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摘要：

胃切除术后消化道重建方式的合理选择是手术成败的关键之一。目前，腹腔镜辅助胃癌根治术后消化道重建的方式还没有统一的标准。由于腹腔镜辅助手术后消化道重建是通过腹壁的小切口进行的，其操作难度较大，技术要求较高。术者不仅需要具有一定的常规开腹手术经验，还应根据肿瘤部位，结合腹腔镜操作特点，选择合理的消化道重建方式，在保证肿瘤根治的前提下尽可能地减少术后并发症的发生，保证病人术后良好的生活质量。

关键词: 胃癌, 腹腔镜手术, 消化道重建

Abstract:

Reasonable option of digestive tract reconstruction after laparoscopic-assisted radical gastrectomy for gastric cancer        HUANG Chang-ming, LIN Jian-xian. Department of Gastric Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China
Corresponding author: HUANG Chang-ming, E-mail: hcmlr2002@163.com
Abstract    Digestive tract reconstruction after gastrectomy is the one of the keys to the success of surgery. The uniform standards have not been formed in digestive tract reconstruction for laparoscopic-assisted gastrectomy (LAG) by now. It is more difficult and higher technical requirements for digestive reconstruction through the small incision after LAG. In order to choose an applicable reconstruction which can reduce incidence of postoperative complications and ensure a good quality of life for patients after gastrectomy, operators need to not only have experience in conventional open surgery, but also accord the characteristics of tumors.

Key words: gastric cancer, laparoscopy surgical procedures, digestive tract reconstruction