标题：管状胃重建消化道在食管癌手术中的应用进展

      作者：鲍峰，许瑞    (武警安徽省总队医院心胸外科，安徽 合肥 230041)

      卷次： 2018年29卷7期

      【摘要】 食管癌作为威胁全球人类的健康问题而备受关注。相比传统的全胃代食管手术，管状胃重建消化道在食管癌手术中可以明显促进胃排空、使吻合口狭窄发生率下降、进而使反流性食管炎和胃食管反流等术后并发症得以减少，同时还减轻对心肺的压迫、减少术后胸胃综合征。因此，在不延长患者手术以及术后的住院时间、手术也相对较安全的基础上，管状胃较传统全胃代食管更能显著地改善食管癌患者术后的生活质量，提高食管癌患者的生存率，防止复发和转移。本文就管状胃重建消化道在食管癌手术中运用的相关内容做一综述。
      【关键词】 食管癌；管状胃重建消化道；全胃代食管手术
      【中图分类号】 R735.1 【文献标识码】 A 【文章编号】 1003—6350（2018）07—0990—05

Application progress of tubular gastric reconstruction of digestive tract in esophageal carcinoma radicaloperation by left thoracic incision.
BAO Feng, XU Rui. Department of Cardiothoracic Surgery, Anhui Provincial CorpsHospital, Hefei 230041, Anhui, CHINA【Abstract】 Esophageal cancer has attracted much attention as a threat to human health all over the world. Com-pared with the traditional whole stomach reconstruction surgery, the tubular gastric reconstruction of digestive tract cansignificantly promote gastric emptying, reduce the incidence of anastomotic stricture, gastroesophageal reflux and refluxesophagus inflammation and other complications in surgery of esophageal carcinoma, and also reduce cardiopulmonaryoppression and postoperative stomach syndrome. Therefore, compared with the traditional full stomach esophagus, tubu-lar gastric reconstruction can significantly improve esophageal cancer patients after surgery and quality of life, improvethe survival rate of patients with esophageal cancer, and prevent recurrence and metastasis, but does not prolong the post-operative hospitalization time. This review makes a summary on the tubular gastric reconstruction of digestive tract inthe treatment of esophageal carcinoma.
      【Key words】 Esophagus cancer; Tubular gastric reconstruction of digestive tract; Whole stomach reconstructionsurgery·综 述·doi:10.3969/j.issn.1003-6350.2018.07.032