使用狭长胃管的新型重建方法在腹腔镜近端胃癌根治术中的应用：一项回顾性病例系列研究
Novel reconstruction method using long and narrow gastric tube in laparoscopic proximal gastrectomy for cancer: a retrospective case series study.
作者信息
Ueda Yoshitake, Kawasaki Takahide, Tanabe Sanshi, Suzuki Kosuke, Ninomiya Shigeo, Etoh Tsuyoshi, Inomata Masafumi, Shiraishi Norio
机构信息
Department of Comprehensive Surgery for Community Medicine, Oita University Faculty of Medicine, Oita, Japan.
Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
出版信息
Front Surg. 2024 Jul 25;11:1413939. doi: 10.3389/fsurg.2024.1413939. eCollection 2024.
BACKGROUND AND OBJECTIVES
To clarify the safety and feasibility of laparoscopic proximal gastrectomy (LPG) with our novel reconstruction methods.
METHODS
Novel method is a reconstruction with a long and narrow gastric tube with widening of the proximal side created by linear stapler, and esophagogastrostomy is performed by linear stapler. In conventional method, esophagogastrostomy is performed by a circular stapler. Short- and long-term outcomes of a novel method were compared with those of conventional method.
RESULTS
A total of 44 patients whom LPG was performed were enrolled in this retrospective study. No cases of anastomotic leakage and stenosis were observed in both groups. The cases of postoperative reflux esophagitis (Grade B or higher) at 1 year after operation in the Novel group were less than those in the Conventional group (17% vs. 44%).
CONCLUSION
LPG with novel reconstruction method can be easily performed, and may be feasible for the treatment of proximal gastric cancer.
背景与目的
通过我们新颖的重建方法阐明腹腔镜近端胃切除术（LPG）的安全性和可行性。
方法
新颖的方法是使用线性吻合器构建近端加宽的狭长胃管进行重建，并用线性吻合器进行食管胃吻合术。传统方法是使用圆形吻合器进行食管胃吻合术。将新颖方法的短期和长期结果与传统方法进行比较。
结果
本回顾性研究纳入了44例行LPG的患者。两组均未观察到吻合口漏和狭窄病例。新颖组术后1年的反流性食管炎（B级或更高）病例少于传统组（17%对44%）。
结论
采用新颖重建方法的LPG操作简便，对于近端胃癌的治疗可能是可行的。
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