中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

全腹腔镜远端胃癌根治术消化道重建方式选择及技术要点

徐泽宽，徐    皓   

  1. 南京医科大学第一附属医院（江苏省人民医院）普外科，江苏南京210029
  • 出版日期:2016-09-01 发布日期:2016-08-24

  • Online:2016-09-01 Published:2016-08-24

摘要：

近年来，随着腹腔镜技术的发展以及胃肠外科医生手术水平的提高，全腹腔镜远端胃癌根治术的临床应用获得快速发展。消化道重建是腹腔镜胃癌手术的关键步骤也是难点之一。目前远端胃癌根治术常用的消化道重建方式主要包括Billroth-Ⅰ式、Billroth-Ⅱ式、胃空肠Roux-en-Y吻合以及胃空肠非离断式Roux-en-Y吻合。这些重建方式均各具特点，目前尚未达成统一的共识。

关键词: 胃肿瘤, 腹腔镜, 消化道重建

Abstract:

Selection and technical points of digestive tract reconstruction after total laparoscopic distal gastrectomy for gastric cancer        XU Ze-kuan，XU Hao. Department of General Surgery，the First Affiliated Hospital of Nanjing Medical University（Jiangsu Province Hospital），Nanjing 210029, China
Corresponding author：XU Ze-kuan，E-mail：xuzekuan@njmu.edu.cn
Abstract    The distal gastrectomy is the main approach for surgical treatment. In recent years，with the development of laparoscopic technology and improved skills of gastrointestinal surgeons，totally laparoscopic distal gastrectomy has been developed rapidly. And the digestive tract reconstruction is the key procedure for laparoscopic gastrectomy. At present，the most common reconstruction procedures include Billroth I，Billroth II，Roux-en-Y anastomosis and uncut Roux-en-Y anastomosis. All the procedures have their unique features，and no agreement has been established.

Key words: gastric cancer, laparoscopy, digestive tract reconstruction