Choice of digestive tract reconstruction in upper gastric cancer / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 396-400, 2022.
Article
en Zh
| WPRIM
| ID: wpr-936095
Biblioteca responsable:
WPRO
ABSTRACT
With the increasing incidence of upper gastric cancer and early gastric cancer, surgeons have gradually paid attention to the selection of appropriate digestive tract reconstruction methods. At present, the safety of surgery is no longer the main aim pursued by surgeons, and the focus of surgery has gradually changed to postoperative quality of life. Surgical procedures for upper gastric cancer include total gastrectomy (TG) and proximal gastrectomy (PG). Roux-en-Y anastomosis is recommended for digestive tract reconstruction after TG. The classic method of digestive tract reconstruction after PG is distal residual stomach and esophageal anastomosis. However, to prevent esophageal reflux caused by PG, a lot of explorations have been carried out over the years, including tubular gastroesophageal anastomosis, double-flap technique (Kamikawa anastomosis), interposition jejunum, double-tract reconstruction and so on. But the appropriate method of digestive tract reconstruction for upper gastric cancer is still controversial. In this paper, based on literatures and our clinical experience, the selection, surgical difficulties and techniques of digestive tract reconstruction after PG are discussed.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Calidad de Vida
/
Neoplasias Gástricas
/
Anastomosis en-Y de Roux
/
Anastomosis Quirúrgica
/
Estudios Retrospectivos
/
Resultado del Tratamiento
/
Muñón Gástrico
/
Gastrectomía
Tipo de estudio:
Observational_studies
Aspecto:
Patient_preference
Límite:
Humans
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Año:
2022
Tipo del documento:
Article