Department of Thoracic Surgery, First Affiliated Hospital of Zhengzhou University, No. 1 Jian She Road, Zhengzhou, 450052, Henan Province, China.
Esophagus. 2023 Oct;20(4):595-604. doi: 10.1007/s10388-023-01021-z. Epub 2023 Jul 25.
Esophagectomy is currently the mainstay of treatment for resectable esophageal carcinoma. Gastric grafts are the first substitutes in esophageal reconstruction. According to the different tailoring methods applied to the stomach, gastric grafts can be classified as whole stomach, subtotal stomach and gastric tube. Gastric-tube placement has been proven to be the preferred method, with advantages in terms of postoperative complications and long-term survival. In recent years, several novel methods involving special-shaped gastric tubes have been proposed, which have further decreased the incidence of perioperative complications. This article will review the progress and clinical application status of different types of gastric grafts from the perspectives of preparation methods, studies of anatomy and perioperative outcomes, existing problems and future outlook.
食管癌切除术目前是可切除食管癌的主要治疗方法。胃移植物是食管重建的首选替代物。根据应用于胃的不同剪裁方法，胃移植物可分为全胃、次全胃和胃管。已经证明胃管放置是首选方法，在术后并发症和长期生存方面具有优势。近年来，提出了几种涉及特殊形状胃管的新方法，进一步降低了围手术期并发症的发生率。本文将从准备方法、解剖学研究和围手术期结果、存在问题和未来展望等方面，综述不同类型胃移植物的进展和临床应用现状。
