文献综述(Review)

有胃切除手术史的食管癌患者术后食道重建的现状与进展

Published at: 2017年第26卷第10期

杨健 1 , 孟礼飞 1 , 肖海波 1
1 上海交通大学医学院附属新华医院 心胸外科,上海 200092
通讯作者 海波 肖 Email: xiaohaibo@xinhuamed.com.cn
DOI: 10.3978/j.issn.1005-6947.2017.10.018
基金:
上海交通大学附属新华医院院基金资助项目 15YG03

摘要

带蒂空肠瓣及结肠移植是有胃切除或胃食管切除史食管癌患者术后食道重建的两种常用的手术方法。虽然两种方式选择比例相当,但是空肠移植使用的比例在逐渐增加;两者在移植物丢失及吻合口瘘发生率上相当,但结肠移植的病死率似乎高于空肠移植。因此,目前对于选择最佳重建方式仍存在争议,笔者就此进行综述。


Reconstruction after esophagectomy for esophageal cancer patients with a history of gastrectomy: current status and progress

Abstract

Pedicled jejunal flap and colon transplantation are two commonly used surgical procedures for esophageal reconstruction in esophageal cancer patients with a history of gastrectomy or esophagogastrectomy. Although the choice proportions of the two approaches are equivalent, the proportion of using pedicled jejunal flap has been gradually increased. The incidences of graft loss and anastomotic leakage are similar between the two procedures, but the mortality rate after colon transplantation seems to be higher than that after jejunal flap transplantation. Therefore, the optimal method for reconstruction is still controversial at present. The authors address the issues of these concerns.


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引用

引用本文: 健 杨, 礼飞 孟, 海波 肖. 有胃切除手术史的食管癌患者术后食道重建的现状与进展[J]. 中国普通外科杂志, 2017, 26(10): 1337-1342.
Cite this article as: YANG Jian, MENG Lifei, XIAO Haibo . Reconstruction after esophagectomy for esophageal cancer patients with a history of gastrectomy: current status and progress [J]. Chin J Gen Surg, 2017, 26(10): 1337-1342.