全腹腔镜近端胃切除术的适应证及消化道重建方式的选择

徐泽宽; 徐皓; 李铮

doi:10.3969/j.issn.1000-8179.2019.01.071

全腹腔镜近端胃切除术的适应证及消化道重建方式的选择

doi: 10.3969/j.issn.1000-8179.2019.01.071

南京医科大学第一附属医院普外科（南京市 210029）

基金项目:

江苏省重点研发计划项目（社会发展） BE2016786

江苏省医学重点学科（普通外科） ZDXKA2016005

江苏高等教育机构重点学科建设项目 PAPD, JX10231801

详细信息

作者简介:
徐泽宽教授，主任医师，博士研究生导师。现任江苏省人民医院普外科主任，胃肠外科中心主任。长期从事消化道肿瘤的临床及基础研究工作，主要研究方向为胃肠道肿瘤的微创治疗、肿瘤发生发展的分子机制研究、非编码RNA用于胃癌诊治的相关研究等。兼任中华医学会外科学分会委员；中国医师协会外科医师分会上消化道外科医师委员会副主任委员；中国医师协会外科医师分会胃肠道间质瘤诊疗专业委员会副主任委员，中华医学会外科学分会胃肠外科学组委员；中国研究型医院学会消化道肿瘤专业委员会副主任委员；江苏省医学会外科学分会候任主任委员等。承担国家级科研项目5项，省部级科研项目多项，已发表相关论文100余篇，其中以第一作者或通信作者发表SCI论文50余篇。参与编写包括高等医学教材在内的著作13部。主持和参与多项临床治疗指南的撰写

通讯作者:
徐泽宽 xuzekuan@njmu.edu.cn

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出版历程
- 收稿日期: 2018-10-11
- 修回日期: 2018-12-26
- 刊出日期: 2019-01-15

Indications for total laparoscopic proximal gastrectomy and the following selection of gastrointestinal reconstruction methods

Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China

Funds:

Key Project of Research and Development Plan (Social Development) of Jiangsu Province BE2016786

Jiangsu Provincial Key Discipline ZDXKA2016005

Priority Academic Program Development of Jiangsu Higher Education Institutions PAPD, JX10231801

More Information

Corresponding author: Zekuan Xu; E-mail: xuzekuan@njmu.edu.cn

摘要

摘要: 近年来，世界范围内胃上部癌发病率逐年升高，严重威胁人类健康。目前，根治性胃切除术仍然是胃上部癌的主要治疗方法，其主要术式为全胃切除术或近端胃切除术。近端胃切除术因其保留部分胃的功能，对患者营养状况影响较小而越来越受到关注。随着腹腔镜技术的进步，胃癌的腹腔镜治疗效果不断改善。近年来，全腹腔镜技术被应用于胃上部癌的治疗，但该手术方式在根治范围及消化道重建等问题上尚存争议。本文将重点介绍全腹腔镜近端胃切除术的适应证及如何合理地选择消化道重建的方式。
- 全腹腔镜 /
- 近端胃切除术 /
- 消化道重建
Abstract: In recent years, the incidence of upper gastric cancer has increased annually worldwide. Upper gastric cancer has become a huge threat to human health. Until now, total and proximal gastrectomies are still the most commonly used surgeries for upper gastric cancer. More attention has been paid to proximal gastrectomy because it retains the function of the stomach and has little effect on nutrient absorption. Patients who received proximal gastrectomy achieved better nutritional status. With the development of laparoscopic techniques, laparoscopic radical gastrectomy has been largely performed in gastric cancer treatment. Total laparoscopic surgery has been applied in the treatment of upper gastric cancer in recent years. However, this surgical procedure is still controversial in terms of the range of radical treatment and reconstruction of the digestive tract. Combining our own experiences, we will focus on the indications of total laparoscopic proximal gastrectomy and the guidelines for choosing the most reasonable procedure for digestive tract reconstruction.
- total laparoscopy /
- proximal gastrectomy /
- digestive tract reconstruction

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参考文献(32)

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