Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Aug 25;25(8):659-668. doi: 10.3760/cma.j.cn441530-20220712-00302.
According to the different tumor locations and stages of gastric cancer, distal radical gastrectomy, radical total gastrectomy and proximal radical gastrectomy for gastric cancer are respectively selected in clinical practice. Regardless of the type of radical gastrectomy, digestive tract reconstruction is of great importance to gastrectomy, and it is also susceptible to related surgical complication. The occurrence of surgical complications directly affects the efficacy and postoperative quality of life, and even leads to death, resulting in serious consequences of giving up all previous efforts! Therefore, in the era of laparoscopic surgery, how to safely perform digestive tract reconstruction to reduce the occurrence of related complications, and how to properly and effectively deal with complications will be helpful to improve the overall level of gastric cancer treatment in China. This consensus is mainly aimed at the complications that occur during the process of digestive tract reconstruction and in the recent postoperative period. From the aspects of causes, preventive measures and treatment measures, after extensive review of data and combination with clinical practice, the opinions of domestic authoritative experts have been repeatedly collected and discussed. Finally, an expert consensus was formed, which provided an effective reference for Chinese surgeons to improve the prevention and treatment of complications of gastrointestinal reconstruction after radical resection of gastric cancer.
根据胃癌不同的肿瘤位置和分期，临床实践中分别选择远端胃癌根治术、全胃根治术和近端胃癌根治术。无论何种类型的胃癌根治术，消化道重建对于胃癌切除术都至关重要，且也易发生相关手术并发症。手术并发症的发生直接影响疗效和术后生活质量，甚至导致死亡，造成前功尽弃的严重后果！因此，在腹腔镜手术时代，如何安全地进行消化道重建以减少相关并发症的发生，以及如何妥善有效地处理并发症，将有助于提高我国胃癌治疗的整体水平。本共识主要针对消化道重建过程中及术后近期发生的并发症。从病因、预防措施和治疗措施等方面，在广泛查阅资料并结合临床实践的基础上，反复收集并讨论国内权威专家的意见。最终形成专家共识，为我国外科医生提高胃癌根治术后消化道重建并发症的防治水平提供有效参考。
