Weber Marie-Christin, Berlet Maximilian, Novotny Alexander, Friess Helmut, Reim Daniel
Klinikum rechts der Isar, Klinik und Poliklinik für Chirurgie, TU München, Ismaninger Straße 22, 81675, München, Deutschland.
Chirurg. 2021 Jun;92(6):506-514. doi: 10.1007/s00104-020-01350-0. Epub 2021 Jan 26.
Minimally invasive surgical techniques with respect to the treatment of gastric cancer have progressed rapidly over the last few years. Especially in Asia, where the incidence of gastric cancer is ten times higher than in Europe, surgery for gastric cancer is steadily evolving, especially regarding laparoscopic and robot-assisted procedures. This review first discusses the different options for reconstruction of the gastrointestinal passage after gastrectomy, ranging from Billroth procedures to the latest developments, such as the double tract reconstruction. In particular, the possibility of function-preserving partial gastrectomy, such as proximal and distal gastric resection and the corresponding reconstruction techniques are presented. The latest studies and technical developments are presented, especially with respect to laparoscopically assisted, completely laparoscopic and robot-assisted gastrectomies.
在过去几年中，针对胃癌治疗的微创外科技术取得了迅速进展。尤其是在亚洲，胃癌发病率比欧洲高出十倍，胃癌手术正在稳步发展，特别是在腹腔镜手术和机器人辅助手术方面。本综述首先讨论了胃切除术后胃肠道重建的不同选择，从毕罗（Billroth）手术到最新进展，如双通路重建。特别介绍了保留功能的部分胃切除术的可能性，如近端和远端胃切除术以及相应的重建技术。还介绍了最新的研究和技术进展，特别是关于腹腔镜辅助、完全腹腔镜和机器人辅助胃切除术的进展。
