使用ArtiSential关节式器械对小型胃食管交界部肿瘤进行微创梅伦迪诺手术（附视频）
Minimally invasive Merendino procedure for a small gastroesophageal junction tumor with ArtiSential articulated instruments (with video).
作者信息
Jagric Tomaz
机构信息
Department for General and Abdominal Surgery, University Clinical Center Maribor, Maribor, Slovenia.
出版信息
J Minim Invasive Surg. 2025 Sep 15;28(3):151-153. doi: 10.7602/jmis.2025.28.3.151.
Abstract
A proximal gastrectomy is sufficient for patients with small gastroesophageal junction (GEJ) tumors. Continuity can be restored with an esophagojejunostomy with jejunal interposition, offering significant functional advantages. However, the primary challenge is creating a mediastinal anastomosis. This multimedia article demonstrates our technique for laparoscopic proximal gastrectomy with jejunal interposition and hand-sewn esophagojejunostomy, performed using ArtiSential wristed instruments, in a 76-year-old woman with Siewert type II gastroesophageal junction cancer staged as cT2N0M0.
摘要
对于患有小的胃食管交界（GEJ）肿瘤的患者，近端胃切除术就足够了。通过空肠间置的食管空肠吻合术可以恢复消化道的连续性，具有显著的功能优势。然而，主要的挑战是进行纵隔吻合。这篇多媒体文章展示了我们使用ArtiSential腕部器械，为一名76岁、cT2N0M0分期的Siewert II型胃食管交界癌女性患者实施腹腔镜近端胃切除术并空肠间置及手工缝合食管空肠吻合术的技术。
相似文献
1
Minimally invasive Merendino procedure for a small gastroesophageal junction tumor with ArtiSential articulated instruments (with video).使用ArtiSential关节式器械对小型胃食管交界部肿瘤进行微创梅伦迪诺手术（附视频）
J Minim Invasive Surg. 2025 Sep 15;28(3):151-153. doi: 10.7602/jmis.2025.28.3.151.
2
Proximal Gastrectomy Versus Total Gastrectomy for Siewert II/III Adenocarcinoma of the Gastroesophageal Junction: a Systematic Review and Meta-analysis.近端胃切除术与全胃切除术治疗食管胃交界部Siewert II/III型腺癌的系统评价和Meta分析
J Gastrointest Surg. 2022 Jun;26(6):1321-1335. doi: 10.1007/s11605-022-05304-1. Epub 2022 Mar 30.
3
Esophagojejunostomy using a circular stapler after laparoscopic total gastrectomy with pouch suture and multifunctional sealing cap: a simple, safe, and effective anastomosis technique.腹腔镜全胃切除术后使用圆形吻合器行食管空肠吻合术并进行袋状缝合及多功能密封帽：一种简单、安全且有效的吻合技术。
Updates Surg. 2025 Aug 16. doi: 10.1007/s13304-025-02372-1.
4
Eight steps to success: minimally invasive surgical management of cesarean scar pregnancy.成功八步：剖宫产瘢痕妊娠的微创外科治疗
Fertil Steril. 2025 May 7. doi: 10.1016/j.fertnstert.2025.04.042.
5
Intraoperative revision of a positive proximal resection margin is associated with improved survival in patients undergoing resection for gastroesophageal junction and proximal third gastric adenocarcinoma.对于接受胃食管交界部及近端三分之一胃癌切除术的患者，术中对近端切缘阳性进行修正与生存率提高相关。
J Gastrointest Surg. 2025 Sep;29(9):102123. doi: 10.1016/j.gassur.2025.102123. Epub 2025 Jun 20.
6
Worldwide trends in surgical techniques in the treatment of esophageal and gastroesophageal junction cancer.全球食管和胃食管交界癌治疗中手术技术的趋势
Dis Esophagus. 2017 Jan 1;30(1):1-7. doi: 10.1111/dote.12480.
7
Evaluation of combined tubular gastroesophageal anastomosis and C-shaped flap technique in proximal gastrectomy for gastric cancer: A retrospective propensity score matching analysis.管状胃食管吻合联合C形瓣技术在近端胃癌根治术中的应用评价：一项回顾性倾向评分匹配分析
Eur J Surg Oncol. 2025 Sep;51(9):110227. doi: 10.1016/j.ejso.2025.110227. Epub 2025 Jun 9.
8
[Feasibility of a single-port thoracoscopy-assisted five-step laparoscopic procedure via transabdominal diaphragmatic approach for No.111 lymphadenectomy in patients with Siewert type II esophageal gastric junction adenocarcinoma].[经腹膈肌入路单孔胸腔镜辅助五步腹腔镜手术行SiewertⅡ型食管胃交界腺癌111组淋巴结清扫的可行性]
Zhonghua Wei Chang Wai Ke Za Zhi. 2023 Apr 25;26(4):339-345. doi: 10.3760/cma.j.cn441530-20221109-00459.
9
A novel anti-reflux esophagogastric anastomosis in totally laparoscopic proximal gastrectomy: Hao's esophagogastrostomy by fissure technique (HEFT).全腹腔镜近端胃切除术中一种新型抗反流食管胃吻合术：基于裂沟技术的郝氏食管胃吻合术（HEFT）
World J Surg Oncol. 2025 Jul 3;23(1):263. doi: 10.1186/s12957-025-03900-4.
10
Safety of robotic double-flap technique following proximal gastrectomy in the introductory phase compared with laparoscopic procedure: a propensity score-matched analysis.近端胃切除术后机器人双瓣技术与腹腔镜手术在导入阶段的安全性比较：倾向评分匹配分析。
Surg Endosc. 2024 Oct;38(10):5824-5831. doi: 10.1007/s00464-024-11156-4. Epub 2024 Aug 19.
本文引用的文献
1
Feasibility of articulating laparoscopic instruments in laparoscopic gastrectomy using propensity score matching.使用倾向评分匹配评估腹腔镜胃切除术中使用腹腔镜器械的可行性。
Sci Rep. 2023 Oct 13;13(1):17384. doi: 10.1038/s41598-023-44305-1.
2
Esophageal cancer practice guidelines 2022 edited by the Japan Esophageal Society: part 2.日本食管癌学会编辑的《2022年食管癌诊疗指南》：第2部分
Esophagus. 2023 Jul;20(3):373-389. doi: 10.1007/s10388-023-00994-1. Epub 2023 Mar 30.
3
Usefulness of articulating laparoscopic instruments during laparoscopic gastrectomy for gastric adenocarcinoma.腹腔镜下胃腺癌根治术中可弯曲腹腔镜器械的应用价值
J Minim Invasive Surg. 2021 Mar 15;24(1):35-42. doi: 10.7602/jmis.2021.24.1.35.
4
Esophagogastric junction adenocarcinomas: individualization of resection with special considerations for Siewert type II, and Nishi types EG, E=G and GE cancers.食管胃结合部腺癌：Siewert Ⅱ型及 Nishi 型 EG、E=G 和 GE 癌的个体化切除术
Gastric Cancer. 2020 Jan;23(1):3-9. doi: 10.1007/s10120-019-01022-x. Epub 2019 Nov 6.
5
Multicenter retrospective study to evaluate the efficacy and safety of the double-flap technique as antireflux esophagogastrostomy after proximal gastrectomy (rD-FLAP Study).多中心回顾性研究以评估双瓣技术作为近端胃切除术后抗反流食管胃吻合术的疗效和安全性（rD-FLAP研究）。
Ann Gastroenterol Surg. 2018 Oct 11;3(1):96-103. doi: 10.1002/ags3.12216. eCollection 2019 Jan.
6
A laparoscopic vagus-preserving Merendino procedure for early esophageal adenocarcinoma.腹腔镜下保留迷走神经的 Merendino 手术治疗早期食管腺癌。
Surg Endosc. 2010 May;24(5):1195-9. doi: 10.1007/s00464-009-0736-4. Epub 2009 Dec 8.
7
Gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass surgery: analysis of 1291 patients.腹腔镜Roux-en-Y胃旁路手术后的胃空肠吻合口狭窄：1291例患者的分析
Surg Obes Relat Dis. 2006 Mar-Apr;2(2):92-7. doi: 10.1016/j.soard.2005.10.014.
Zotero 插件