切换至 "中华医学电子期刊资源库"

中华胃食管反流病电子杂志 ›› 2019, Vol. 06 ›› Issue (01) : 10 -12. doi: 10.3877/cma.j.issn.2095-8765.2019.01.004

所属专题: 文献

述评

腹腔镜胃癌手术消化道重建与术后胃食管反流病
郑民华1,(), 巴突尔·艾克木1, 王光帅2   
  1. 1. 200025 上海交通大学医学院附属瑞金医院胃肠外科;200025 上海市微创外科临床医学中心
    2. 844700 新疆维吾尔自治区 莎车,莎车县人民医院普外二科
  • 收稿日期:2019-01-20 出版日期:2019-02-15
  • 通信作者: 郑民华
  • 基金资助:
    上海市国内科技合作项目(18695841400)

Postoperative gastroesophageal reflux in different types of digestive tract reconstruction after laparoscopic gastrectomy

Minhua Zheng1,(), Aikemu Batuer1, Guangshuai Wang2   

  1. 1. Department of Gastrointestinal Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025; Shanghai Minimal Invasive Surgery Center, Shanghai 200025
    2. Second Department of General Surgery, the People's Hospital of Shache Country, Shache 844700, Xinjiang Uygur Autonomous Region, China
  • Received:2019-01-20 Published:2019-02-15
  • Corresponding author: Minhua Zheng
  • About author:
    Corresponding author: Zheng Minhua, Email:
引用本文:

郑民华, 巴突尔·艾克木, 王光帅. 腹腔镜胃癌手术消化道重建与术后胃食管反流病[J]. 中华胃食管反流病电子杂志, 2019, 06(01): 10-12.

Minhua Zheng, Aikemu Batuer, Guangshuai Wang. Postoperative gastroesophageal reflux in different types of digestive tract reconstruction after laparoscopic gastrectomy[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2019, 06(01): 10-12.

腹腔镜技术在过去20余年里的长足进步对胃癌的外科治疗具有非凡意义,如今的微创手术不仅在肿瘤根治手段上日益规范成熟,也更关注功能的保留与保护。腹腔镜胃癌根治术中的消化道重建与术后生理功能密切相关,同时决定着手术的成败。随着器械的发展与技术的进步,消化道重建方法正不断革新,本文就其中几种术式与重建后胃食管反流病的发生做一述评。

Laparoscopic surgery has been honored as a milestone of the modern surgery in last two decades, especially in the treatment of gastric cancer. The concept of minimally invasive surgery now is more concerned about the preservation of physiological functions, as well as the technical standardization and radical cure of cancer. Reconstruction procedures, as a key factor of laparoscopic gastrectomy, plays a crucial role in the postoperative organ function. Hence, we review some traditional and emerging reconstruction methods of their impact on postoperative gastroesophageal reflux.

1
Kitano S, Iso Y, Moriyama M, et al. Laparoscopy-assisted Billroth I gastrectomy [J]. Surg Laparosc Endosc, 1994, 4(2): 146-148.
2
Kitano S, Shiraishi N, Uyama I, et al. A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan [J]. Ann Surg, 2007, 245(1): 68-72.
3
臧潞,马君俊,郑民华.腹腔镜胃癌手术的争议与共识[J].中国实用外科杂志, 2018, 38(2): 163-166.
4
黄昌明,郑朝辉,陆俊.完全腹腔镜胃癌手术消化道重建专家共识及手术操作指南(2018版) [J].中国实用外科杂志, 2018, 38(8): 833-839.
5
Kubo M, Sasako M, Gotoda T, et al. Endoscopic evaluation of the remnant stomach after gastrectomy: proposal for a new classification [J]. Gastric Cancer, 2002, 5(2): 83-89.
6
Goldstein SR, Yang GY, Curtis SK, et al. Development of esophageal metaplasia and adenocarcinoma in a rat surgical model without the use of a carcinogen [J]. Carcinogenesis, 1997, 18(11): 2265-2270.
7
Sato T, Miwa K, Sahara H, et al. The sequential model of Barrett's esophagus and adenocarcinoma induced by duodeno-esophageal reflux without exogenous carcinogens [J]. Anticancer Res, 2002, 22(1A): 39-44.
8
Namikawa T, Kitagawa H, Okabayashi T, et al. Roux-en-Y reconstruction is superior to billroth Ⅰ reconstruction in reducing reflux esophagitis after distal gastrectomy: special relationship with the angle of his [J]. World J Surg, 2010, 34(5): 1022-1027.
9
Paterson WG. The normal antireflux mechanism [J]. Chest Surg Clin North Am, 2001, 11(3): 473-483.
10
Fujiwara Y, Nakagawa K, Kusunoki M, et al. Gastroesophageal reflux after distal gastrectomy: possible significance of the angle of His [J]. Am J Gastroenterol, 1998, 93(1): 11-15.
11
WINDSOR CW. GASTRO-OESOPHAGEAL REFLUX AFTER PARTIAL GASTRECTOMY [J]. Br Med J, 1964, 2(5419): 1233-1234.
12
ATKINSON M. Mechanisms protecting against gastro-oesophageal reflux: a review [J]. Gut, 1962, 3: 1-15.
13
Cui LH, Son SY, Shin HJ, et al. Billroth Ⅱ with Braun Enteroenterostomy Is a Good Alternative Reconstruction to Roux-en- Y Gastrojejunostomy in Laparoscopic Distal Gastrectomy [J]. Gastroenterol Res Pract, 2017: 1803851.
14
Lee MS, Ahn SH, Lee JH, et al. What is the best reconstruction method after distal gastrectomy for gastric cancer? [J]. Surg Endosc, 2012, 26(6): 1539-1547.
15
Takaori K, Nomura E, Mabuchi H, et al. A secure technique of intracorporeal Roux-Y reconstruction after laparoscopic distal gastrectomy [J]. Am J Surg, 2005, 189(2): 178-183.
16
Chan DC, Fan YM, Lin CK, et al. Roux-en-Y reconstruction after distal gastrectomy to reduce enterogastric reflux and Helicobacter pylori infection [J]. J Gastrointest Surg, 2007, 11(12): 1732-1740.
17
Namikawa T, Kitagawa H, Okabayashi T, et al. Double tract reconstruction after distal gastrectomy for gastric cancer is effective in reducing reflux esophagitis and remnant gastritis with duodenal passage preservation [J]. Langenbecks Arch Surg, 2011, 396(6): 769-776.
18
Tokunaga M, Ohyama S, Hiki N, et al. Endoscopic evaluation of reflux esophagitis after proximal gastrectomy: comparison between esophagogastric anastomosis and jejunal interposition [J]. World J Surg, 2008, 32(7): 1473-1477.
19
Hosoda K, Washio M, Mieno H, et al. Comparison of double-flap and OrVil techniques of laparoscopy-assisted proximal gastrectomy in preventing gastroesophageal reflux: a retrospective cohort study [J]. Langenbecks Arch Surg, 2019, 404(1): 81-91.
20
Hosoda K, Yamashita K, Moriya H, et al. Laparoscopically Assisted Proximal Gastrectomy with Esophagogastrostomy Using a Novel "Open-Door" Technique: LAPG with Novel Reconstruction [J]. J Gastrointest Surg, 2017, 21(7): 1174-1180.
21
Wang S, Lin S, Wang H, et al. Reconstruction methods after radical proximal gastrectomy: A systematic review [J]. Medicine (Baltimore), 2018, 97(11): e0121.
22
郑民华.腹腔镜胃肠外科手术发展轨迹与趋势[J].中国实用外科杂志, 2018, 38(1): 61-64.
[1] 李凯, 陈淋, 向涵, 苏怀东, 张伟. 一种U型记忆合金线在经脐单孔腹腔镜阑尾切除术中的临床应用[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 15-15.
[2] 曹迪, 张玉茹. 经腹腔镜生物补片修补直肠癌根治术后盆底疝1例[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 115-116.
[3] 杜晓辉, 崔建新. 腹腔镜右半结肠癌D3根治术淋巴结清扫范围与策略[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 5-8.
[4] 周岩冰, 刘晓东. 腹腔镜右半结肠癌D3根治术消化道吻合重建方式的选择[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 9-13.
[5] 张焱辉, 张蛟, 朱志贤. 留置肛管在中低位直肠癌新辅助放化疗后腹腔镜TME术中的临床研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 25-28.
[6] 王春荣, 陈姜, 喻晨. 循Glisson蒂鞘外解剖、Laennec膜入路腹腔镜解剖性左半肝切除术临床应用[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 37-40.
[7] 李晓玉, 江庆, 汤海琴, 罗静枝. 围手术期综合管理对胆总管结石并急性胆管炎患者ERCP +LC术后心肌损伤的影响研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 57-60.
[8] 甄子铂, 刘金虎. 基于列线图模型探究静脉全身麻醉腹腔镜胆囊切除术患者术后肠道功能紊乱的影响因素[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 61-65.
[9] 逄世江, 黄艳艳, 朱冠烈. 改良π形吻合在腹腔镜全胃切除消化道重建中的安全性和有效性研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 66-69.
[10] 李三祥, 李佳, 刘俊峰, 吕东晨, 方晖东, 谭朝晖, 刘杰, 潘佐, 乔建坤. 基于CT影像的三维重建成像技术在腹腔镜大肾上腺肿瘤切除术中的应用[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(06): 570-574.
[11] 赵佳晖, 王永兴, 彭涛, 李明川, 魏德超, 韩毅力, 侯铸, 姜永光, 罗勇. 后腹腔镜根治性肾切除手术时间延长和术中出血量增多的影响因素分析[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(06): 575-580.
[12] 汪帮琦, 陈波特, 林浩坚, 许晖阳, 王镇伟, 袁雪峰, 林康健, 邱晓拂. 经腹入路3D腹腔镜联合输尿管硬镜同期处理肾盂输尿管连接部梗阻并肾盏结石的应用[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(06): 597-600.
[13] 林文斌, 郑泽源, 郑文能, 郁毅刚. 外伤性脾破裂腹腔镜脾切除术患者中转开腹风险预测模型构建[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 619-623.
[14] 牛朝, 李波, 张万福, 靳文帝, 王春晓, 李晓刚. 腹腔镜袖状胃切除联合胆囊切除治疗肥胖合并胆囊结石安全性和疗效[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 635-639.
[15] 董青, 丁飞, 郭浩, 李峰. Nesfatin-1/NUCB2在幽门螺杆菌感染相关早期胃癌患者中的表达及临床意义[J]. 中华临床医师杂志(电子版), 2023, 17(07): 783-789.
阅读次数
全文


摘要