近端胃切除术后食管残胃双肌瓣吻合法(kamikawa法)吻合的研究进展

唐 振威¹, 谭 献¹, 刘 昊旻¹, 叶 泽楠¹, 杜 振宇¹, 王 长友²
1、华北理工大学附属医院普通外科 河北唐山 063000
2、通讯作者华北理工大学附属医院普通外科 河北唐山 063000

摘要

目的：在过去的30年里，上三分之一胃癌（GC）和胃食管交界癌（GEJ）的发病率显著上升，全胃切除术同时加上D2淋巴结清扫是治疗近端胃癌的常用术式，但全胃切除术往往导致胃切除术后综合征，包括体重减轻、倾倒综合征和贫血。近端胃切除术（PG）有可能通过保留部分胃来减少这些问题的发生。然而近端胃切除术的患者容易出现术后并发症，如胃食管反流、吻合口狭窄等，严重影响患者生活质量，所以近端胃切除后消化道重建方式的选择是目前国内外研究的热点。双肌瓣吻合作为一种食管残胃直接吻合法，因其良好的抗反流效果受到国内外专家的认可。笔者通过回顾近年近端胃切除后双肌瓣吻合的报道，撰写一篇关于其最近的研究进展，并对其未来发展形式加以展望。

关键词

近端胃癌；双肌瓣技术；抗反流

参考

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