Fan L G, Zhang K C, Cui P, Zong L, Wei W, Wang J, Cheng Q S, Zhang J J, Liu Y, Yang Y H, Zhang M J, Hu W Q
Graduate Department of Changzhi Medical College, Changzhi 046000, China Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.
Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2022 May 25;25(5):466-470. doi: 10.3760/cma.j.cn441530-20211019-00419.
With the increasing detection rate of early upper gastric cancer and adenocarcinoma of esophagogastric junction, the safety of proximal gastrectomy with clear indications has been verified, and function-preserving proximal gastrectomy has been widely used. However, proximal gastrectomy destructs the normal anatomical structure of esophagogastric junction, resulting in severe postoperative gastroesophageal reflux symptoms and seriously affecting the quality of life. Among various anti-reflux surgery methods, reconstruction of "cardiac valve" has always been the focus of relevant scholars because its similarity with the mechanism of normal anti-reflux. After years of development, evolution and optimization, the designed seromuscular flap anastomosis includes tunnel muscle flap anastomosis, Hatafuku valvuloplasty, single muscle flap anastomosis and double muscle flap anastomosis. The double muscle flap anastomosis has become a research hotspot because it shows good anti-reflux effect in clinical application. This paper reviews the history, research status and hot issues of seromuscular flap anastomosis of esophageal remnant stomach at home and abroad.
随着早期上胃癌及食管胃交界腺癌检出率的不断提高，明确适应证的近端胃切除术的安全性已得到验证，保留功能的近端胃切除术已被广泛应用。然而，近端胃切除术破坏了食管胃交界的正常解剖结构，导致术后严重的胃食管反流症状，严重影响生活质量。在各种抗反流手术方法中，“贲门瓣”重建一直是相关学者关注的焦点，因为它与正常抗反流机制相似。经过多年的发展、演变和优化，设计的浆肌瓣吻合术包括隧道肌瓣吻合术、幡福瓣膜成形术、单肌瓣吻合术和双肌瓣吻合术。双肌瓣吻合术因其在临床应用中显示出良好的抗反流效果而成为研究热点。本文综述了国内外食管残胃浆肌瓣吻合术的历史、研究现状及热点问题。
