微创近端胃切除术及双消化道重建

IF 0.5 4区 医学 Q4 SURGERY
F. Berlth, E. Tagkalos, C. Mann, E. Hadzijusufoviç, A. Hölscher, Hauke Lang, P. Grimminger
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引用次数: 0

摘要

癌症手术的进展包括使用微创手术,如腹腔镜或机器人技术。除了技术进步之外,在过去的几十年里,淋巴结切除术、管腔切除类型和重建方面几乎没有什么变化。最近,近端胃切除术和双通道重建术变得越来越流行,并可能为胃癌症和癌症食管胃交界处的定制管腔切除带来新的可能性。该手术在东亚建立,但随着癌症近端和癌症发病率的上升,西方国家对此非常感兴趣。到目前为止,有限的证据是一次性的双通道方法,适应症是相当早期的癌症。应将重点放在对肿瘤学安全性和功能益处的快速评估上,以评估全胃切除术的这种手术替代方案,这在腹腔镜或机器人辅助手术中也是可行的。这篇综述旨在提供近端胃切除术和双消化道重建的现状,如何进行的信息,以及哪些患者有资格接受这种手术。西方外科医生在进行这一手术时应科学合作,以有效评估胃远端保存是否有好处
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Minimally invasive proximal gastrectomy and double tract reconstruction
Advances in gastric cancer surgery comprise the use of minimally invasive surgery such as laparoscopic or robotic techniques. Besides the technical progress, little changes have been established in the last decades regarding the lymphadenectomy, luminal resection type and reconstruction. Lately, proximal gastrectomy and reconstruction with double tract method became more popular and might lead to new possibilities of tailored luminal resections in gastric cancer and cancer of the esophagogastric junction. This procedure is established in east Asia, but of high interest for western countries, as the incidence of proximal gastric cancer and junctional cancer is rising. So far, limited evidence is disposable regarding the double tract method and the indication is seen for rather early cancer. Focus should be put on rapid evaluation on oncological safety and functional benefits in order to evaluate this surgical alternative to total gastrectomy, which is also feasible in laparoscopic or robotic-assisted procedures. This review aims to provide a current status of the proximal gastrectomy and double tract reconstruction, information on how it is done, and which patients could qualify for this surgery. Western surgeons should scientifically cooperate when performing this procedure in order to effectively evaluate whether the distal stomach preservation comes along with benefits
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CiteScore
1.40
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发文量
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