全腹腔镜胃癌根治术消化道重建方式的选择及技术要点
Selection and technical points of digestive tract reconstruction after total laparoscopic gastrectomy for gastric cancer
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摘要:
胃癌是我国第二大常见肿瘤。近年来,随着腹腔镜技术的发展以及胃肠外科医师手术水平的提高,全腹腔镜远端胃癌根治术的临床应用得到快速发展。消化道重建是全腹腔镜胃癌根治术的关键步骤,也是难点之一。消化道重建方式各具特点,其选择标准目前尚未达成共识。本文综合文献和笔者临床实践经验,阐述各种消化道重建方式的优、缺点及技术要点。
Abstract:Gastric cancer is the second most common malignancy in China. In recent years,with the development of laparoscopic technology and improved skills of gastrointestinal surgeons, total laparoscopic radical gastrectomy for gastric cancer has been developed rapidly. The digestive tract reconstruction is the key procedure and one of the difficulties of total laparoscopic radical gastrectomy. Each method of digestive tract reconstruction has its own characteristic, however, there has not yet reached a unified consensus until today. In this article, the advantages and disadvantages of these reconstruction methods and technical points were reviewed based on relative literatures and our application experiences.
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Keywords:
- Gastric neoplasms /
- Gastrectomy /
- Laparoscopy /
- Digestive tract reconstruction
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