Progression of the methods and skills of anastomosis techniques in minimally invasive esophagectomy
李洋云 1施贵冬 1杨博 1付茂勇1
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作者信息
1. 川北医学院附属医院胸外科，南充 637000
折叠
摘要
微创食管癌根治术是食管癌的首选治疗方法，已经在临床上广泛普及并发展成熟。然而，吻合口相关并发症仍然较为常见，如吻合口瘘、吻合口狭窄、食管胃反流等，严重地影响患者术后的快速康复和生活质量。食管胃吻合术是该术式的核心与难点所在。近年来，人们发现了不同的食管胃吻合方法和技巧，可降低吻合口相关并发症的发生率和改善临床结局。本文将归纳近几年国内外有关食管胃吻合技术的发展与进步，为广大胸外科医师提供参考，促进食管胃吻合技术的进步。 Minimally invasive esophagectomy is the preferred treatment for esophageal cancer, which has been widely popularized and developed in clinical practice. However, anastomotic complications are still common, such as anastomotic leakage, anastomotic stenosis, and gastroesophageal reflux, which seriously affect the rapid recovery and quality of life of patients after surgery. Esophagogastrostomy is the core and difficulty of the operation. In recent years, different esophagogastric anastomosis methods and techniques have been found to reduce the incidence of anastomotic complications and improve clinical outcomes. This article will summarize the development and progress of esophagogastric anastomosis techniques at home and abroad in recent years in order to provide reference for the majority of thoracic surgeons and to promote the progress of esophagogastric anastomosis techniques.
Abstract
Minimally invasive esophagectomy is the preferred treatment for esophageal cancer, which has been widely popularized and developed in clinical practice. However, anastomotic complications are still common, such as anastomotic leakage, anastomotic stenosis, and gastroesophageal reflux, which seriously affect the rapid recovery and quality of life of patients after surgery. Esophagogastrostomy is the core and difficulty of the operation. In recent years, different esophagogastric anastomosis methods and techniques have been found to reduce the incidence of anastomotic complications and improve clinical outcomes. This article will summarize the development and progress of esophagogastric anastomosis techniques at home and abroad in recent years in order to provide reference for the majority of thoracic surgeons and to promote the progress of esophagogastric anastomosis techniques.
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