腹腔镜近端胃癌根治术的消化道重建选择
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摘要
胃癌是我国常见的恶性肿瘤之一,其发病率居恶性肿瘤的第2位,死亡率居第3位。外科手术仍是其主要的治疗手段,而随着腹腔镜技术的不断发展与成熟,腹腔镜下微创治疗近端胃癌也越来越被采用,消化道重建方式也层出不穷。安全、有效且合理的消化道吻合是保证病人预后的关键所在。本文将围绕腹腔镜近端胃切除治疗近端胃癌中不同的消化道重建方式进行综述。
Gastric cancer is one of the most common malignant tumors in China, and its incidence and mortality rank second and third respectively among malignant tumor.Surgery is still the main treatment method.With the continuous development and maturity of laparoscopic technology, laparoscopic minimally invasive treatment is more commonly used for proximal gastric cancer, and alimentary tract reconstruction methods emerge in endlessly.Safe, effective and reasonable gastrointestinal anastomosis is the key to ensure the prognosis of patients.This article will review the different methods of gastrointestinal reconstruction in the treatment of proximal gastric cancer with laparoscopic proximal gastrectomy.
Gastric cancer is one of the most common malignant tumors in China, and its incidence and mortality rank second and third respectively among malignant tumor.Surgery is still the main treatment method.With the continuous development and maturity of laparoscopic technology, laparoscopic minimally invasive treatment is more commonly used for proximal gastric cancer, and alimentary tract reconstruction methods emerge in endlessly.Safe, effective and reasonable gastrointestinal anastomosis is the key to ensure the prognosis of patients.This article will review the different methods of gastrointestinal reconstruction in the treatment of proximal gastric cancer with laparoscopic proximal gastrectomy.
引文
[1] 陈万青,郑荣寿,张思维,等.2012年中国恶性肿瘤发病和死亡分析[J].中国肿瘤,2016,25(1):1-8.DOI:10.11735/j.issn.1004-0242.2016.01.A001.
[2] 陈万青,张思维,陈志峰,等.中国食管癌胃癌高发区贲门癌流行趋势分析[J].中国肿瘤,2008,17(12):998-1000.
[3] Viňuela EF, Gonen M, Brennan MF, et al.Laparoscopic versus open distal gastrectomy for gastric cancer:a meta-analysis of randomized controlled trials and high-quality nonrandomized studies[J].Ann Surg,2012,255(3):446-456.DOI:10.1097/sla.0b013e31824682f4.
[4] Katai H, Sasako M, Fukuda H, et al.Safety and feasibility of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer:a multicenter phase Ⅱ trial (JCOG0703) [J].Gastric Cancer, 2010,13(4):238-244.DOI:10.1007/s10120-010-0565-0.
[5] Sakuramoto S,Yamashita K,Kikuchi S,et al.Clinical experience of laparoscopy-assisted proximal gastrectomy with Toupet-like partial fundoplication in early gastric cancer for preventing reflux esophagitis[J].J Am Coll Surg,2009,209(3):344-351.DOI:10.1016/j.jamcollsurg.2009.04.011.
[6] Yasuda A, Yasuda T, Imamoto H, et al.A newly modified esophagogastrostomy with a reliable angle of His by placing a gastric tube in the lower mediastinum in laparoscopy-assisted proximal gastrectomy[J].Gastric Cancer,2015,18(4):850-858.DOI:10.1007/s10120-014-0431-6.
[7] Nomura E, Lee SW, Kawai M, et al.Functional outcomes by reconstruction technique following laparoscopic proximal gastrectomy for gastric cancer:double tract versus jejunal interposition[J].World J Surg Oncol, 2014, 12(1):20-24.DOI:10.1186/1477-7819-12-20.
[8] 日本胃癌學會.胃癌治療ガイドライン[M].第4版.東京:金原出版,2014:34-41.
[9] Masuzawa T,Takiguchi S,Hirao M,et al.Comparison of perioperative and long-term outcomes of total and proximal gastrectomy for early gastric cancer:a multi-institutional retrospective study[J].World J Surg,2013, 38(5):1100-1106.DOI:10.1007/s00268-013-2370-5.
[10] Zhang H,Sun Z,Xu HM,et al.Improved quality of life in patients with gastric cancer after esophagogastrostomy reconstruction[J].World J Gastroenterol,2009, 15(25):3183- 3190.DOI:10.3748/wjg.15.3183.
[11] Hosoda K, Yamashita K, Katada N, et al.Potential benefits of laparoscopy-assisted proximal gastrectomy with esophagogastrostomy for cT1 upper-third gastric cancer[J].Surg Endosc,2016,30(8):3426-3436.DOI:10.1007/s00464-015-4625-8.
[12] Uyama I, Sugioka A, Matsui H, et al.Laparoscopic side-to-side esophagogastrostomy using a linear stapler after proximal gastrectomy[J].Gastric Cancer,2001,4(2):98-102.DOI:10.1007/pl00011731.
[13] Shen C,Yang H,Zhang B,et al.Improved quality of life in patients with adenocarcinoma of esophagogastric junction after gastric tube reconstruction[J].Hepatogastroenterology,2013,60(128):1985-1989.
[14] Aihara R, Mochiki E, Ohno T, et al.Laparoscopy-assisted proximal gastrectomy with gastric tube reconstruction for early gastric cancer[J].Surg Endosc,2010 ,24(9):2343-2348.DOI:10.1007/s00464-010-0947-8.
[15] 今村幹雄,手島伸,児玉英謙.迷走神経温存.D_2廓清を伴う噴門側胃切除と空腸嚢間置食道胃幽門吻合術.胃切除と再建術式[M].三輪晃ー監修.医学図書出版,2005:165-177.
[16] 马志明,朱甲明,刘晶晶,等.保留迷走神经近端胃癌根治术的临床研究[J/CD].消化肿瘤杂志(电子版),2012,4(2):77-81.
[17] Matsui H, Igarashi N, Itano O, et al.Laparoscopic function-preserving surgery for early gastric cancer in the upper third of the stomach:vagus-sparing proximal gastrectomy with side-to-side esophagogastric-tube anastomosis.[J].Tokai Exp J Clin Med,2007, 32(4):109-114.
[18] 李茂然,朱纯超,赵刚,等.功能性保护腹腔镜辅助根治性近端胃切除术在早期胃癌治疗中的应用[J].中华胃肠外科杂志,2016,19(2):190-194.DOI:10.3760/cma.j.issn.1671-0274.2016.02.016.
[19] Zhang H, Sun Z, Xu HM, et al.Improved quality of life in patients with gastric cancer after esophagogastrostomy reconstruction[J].World J Gastroenterol,2009, 15(25):3183-3190.DOI:10.3748/wjg.15.3183.
[20] Kim DJ, Lee JH, Kim W.Lower esophageal sphincter-preserving laparoscopy-assisted proximal gastrectomy in patients with early gastric cancer:a method for the prevention of reflux esophagitis[J].Gastric Cancer,2013,16(3):440-444.DOI:10.1007/s10120-012-0202-1.
[21] 薛英威,于雪峰.近端胃癌切除术后消化道重建方式[J].中华胃肠外科杂志,2014,17(5):424-426.DOI:10.3760/cma.j.issn.1671-0274.2014.05.004.
[22] Kuroda S, Nishizaki M, Kikuchi S,et al.Double-Flap Technique as an Antireflux Procedure in Esophagogastrostomy after Proximal Gastrectomy[J].J Am Coll Surg,2016,223(2):e7-e13.DOI:10.1016/j.jamcollsurg.2016.04.041.
[23] Muraoka A, Kobayashi M, Kokudo Y.Laparoscopy-Assisted Proximal Gastrectomy with the Hinged Double Flap Method[J].World J Surg, 2016,40(10):2419-2424.DOI:10.1007/s00268-016-3510-5.
[24] Hayami M, Hiki N, Nunobe S,et al.Clinical Outcomes and Evaluation of Laparoscopic Proximal Gastrectomy with Double-Flap Technique for Early Gastric Cancer in the Upper Third of the Stomach[J].Ann Surg Oncol,2017, 24(6):1635-1642.DOI:10.1245/s10434-017-5782-x.
[25] Ichikawa D, Komatsu S, Kubota T, et al.Long-term outcomes of patients who underwent limited proximal gastrectomy[J].Gastric Cancer, 2014, 17(1):141-145.DOI:10.1007/s10120-013-0257-7.
[26] Kim DJ, Kim W.Laparoscopy-assisted Proximal Gastrectomy with Double Tract Anastomosis Is Beneficial for Vitamin B12 and Iron Absorption[J].Anticancer Res, 2016, 36(9):4753-4758.DOI:10.21873/anticanres.11031.
[27] Uyama I, Sugioka A, Fujita J, et al.Completely laparoscopic proximal gastrectomy with jejunal interposition and lymphadenectomy[J].J Am Coll Surg,2000,191(1):114-119.DOI:10.1016/s1072-7515(00)00283-0.
[28] Takagawa R,Kunisaki C,Kimura J,et al.A pilot study comparing jejunal pouch and jejunal interposition reconstruction after proximal gastrectomy[J].Dig Surg,2010,27(6):502-508.DOI:10.1159/000321224.
[29] Namikawa T, Oki T, Kitagawa H, et al.Impact of jejunal pouch interposition reconstruction after proximal gastrectomy for early gastric cancer on quality of life:short- and long-term consequences[J].Am J Surg,2012,204(2):203-209.DOI:10.1016/j.amjsurg.2011.09.035.
[30] 李国新,陈韬.全腹腔镜胃癌根治术及消化道重建发展现状与前景[J].中国实用外科杂志,2016,36(9):929-934.
[31] 张贤坤,刘宏斌,韩晓鹏,等.两种重建方式在腹腔镜近端胃癌切除术中的对比研究[J].中国普通外科杂志,2015,24(8):1191-1194.DOI:10.3978/j.issn.1005-6947.2015.08.027.
[32] 李双喜,李子禹,陕飞,等.完全腹腔镜近端胃切除双通路消化道重建术[J].中华胃肠外科杂志,2016,19(1):84-85.DOI:10.3760/cma.j.issn.1671-0274.2016.01.019.
[33] Yang K, Bang HJ, Almadani ME, et al.Laparoscopic Proximal Gastrectomy with Double-Tract Reconstruction by Intracorporeal Anastomosis with Linear Staplers[J].J Am Coll Surg,2016,222(5):e39-45.DOI:10.1016/j.jamcollsurg.2016.01.002.
[2] 陈万青,张思维,陈志峰,等.中国食管癌胃癌高发区贲门癌流行趋势分析[J].中国肿瘤,2008,17(12):998-1000.
[3] Viňuela EF, Gonen M, Brennan MF, et al.Laparoscopic versus open distal gastrectomy for gastric cancer:a meta-analysis of randomized controlled trials and high-quality nonrandomized studies[J].Ann Surg,2012,255(3):446-456.DOI:10.1097/sla.0b013e31824682f4.
[4] Katai H, Sasako M, Fukuda H, et al.Safety and feasibility of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer:a multicenter phase Ⅱ trial (JCOG0703) [J].Gastric Cancer, 2010,13(4):238-244.DOI:10.1007/s10120-010-0565-0.
[5] Sakuramoto S,Yamashita K,Kikuchi S,et al.Clinical experience of laparoscopy-assisted proximal gastrectomy with Toupet-like partial fundoplication in early gastric cancer for preventing reflux esophagitis[J].J Am Coll Surg,2009,209(3):344-351.DOI:10.1016/j.jamcollsurg.2009.04.011.
[6] Yasuda A, Yasuda T, Imamoto H, et al.A newly modified esophagogastrostomy with a reliable angle of His by placing a gastric tube in the lower mediastinum in laparoscopy-assisted proximal gastrectomy[J].Gastric Cancer,2015,18(4):850-858.DOI:10.1007/s10120-014-0431-6.
[7] Nomura E, Lee SW, Kawai M, et al.Functional outcomes by reconstruction technique following laparoscopic proximal gastrectomy for gastric cancer:double tract versus jejunal interposition[J].World J Surg Oncol, 2014, 12(1):20-24.DOI:10.1186/1477-7819-12-20.
[8] 日本胃癌學會.胃癌治療ガイドライン[M].第4版.東京:金原出版,2014:34-41.
[9] Masuzawa T,Takiguchi S,Hirao M,et al.Comparison of perioperative and long-term outcomes of total and proximal gastrectomy for early gastric cancer:a multi-institutional retrospective study[J].World J Surg,2013, 38(5):1100-1106.DOI:10.1007/s00268-013-2370-5.
[10] Zhang H,Sun Z,Xu HM,et al.Improved quality of life in patients with gastric cancer after esophagogastrostomy reconstruction[J].World J Gastroenterol,2009, 15(25):3183- 3190.DOI:10.3748/wjg.15.3183.
[11] Hosoda K, Yamashita K, Katada N, et al.Potential benefits of laparoscopy-assisted proximal gastrectomy with esophagogastrostomy for cT1 upper-third gastric cancer[J].Surg Endosc,2016,30(8):3426-3436.DOI:10.1007/s00464-015-4625-8.
[12] Uyama I, Sugioka A, Matsui H, et al.Laparoscopic side-to-side esophagogastrostomy using a linear stapler after proximal gastrectomy[J].Gastric Cancer,2001,4(2):98-102.DOI:10.1007/pl00011731.
[13] Shen C,Yang H,Zhang B,et al.Improved quality of life in patients with adenocarcinoma of esophagogastric junction after gastric tube reconstruction[J].Hepatogastroenterology,2013,60(128):1985-1989.
[14] Aihara R, Mochiki E, Ohno T, et al.Laparoscopy-assisted proximal gastrectomy with gastric tube reconstruction for early gastric cancer[J].Surg Endosc,2010 ,24(9):2343-2348.DOI:10.1007/s00464-010-0947-8.
[15] 今村幹雄,手島伸,児玉英謙.迷走神経温存.D_2廓清を伴う噴門側胃切除と空腸嚢間置食道胃幽門吻合術.胃切除と再建術式[M].三輪晃ー監修.医学図書出版,2005:165-177.
[16] 马志明,朱甲明,刘晶晶,等.保留迷走神经近端胃癌根治术的临床研究[J/CD].消化肿瘤杂志(电子版),2012,4(2):77-81.
[17] Matsui H, Igarashi N, Itano O, et al.Laparoscopic function-preserving surgery for early gastric cancer in the upper third of the stomach:vagus-sparing proximal gastrectomy with side-to-side esophagogastric-tube anastomosis.[J].Tokai Exp J Clin Med,2007, 32(4):109-114.
[18] 李茂然,朱纯超,赵刚,等.功能性保护腹腔镜辅助根治性近端胃切除术在早期胃癌治疗中的应用[J].中华胃肠外科杂志,2016,19(2):190-194.DOI:10.3760/cma.j.issn.1671-0274.2016.02.016.
[19] Zhang H, Sun Z, Xu HM, et al.Improved quality of life in patients with gastric cancer after esophagogastrostomy reconstruction[J].World J Gastroenterol,2009, 15(25):3183-3190.DOI:10.3748/wjg.15.3183.
[20] Kim DJ, Lee JH, Kim W.Lower esophageal sphincter-preserving laparoscopy-assisted proximal gastrectomy in patients with early gastric cancer:a method for the prevention of reflux esophagitis[J].Gastric Cancer,2013,16(3):440-444.DOI:10.1007/s10120-012-0202-1.
[21] 薛英威,于雪峰.近端胃癌切除术后消化道重建方式[J].中华胃肠外科杂志,2014,17(5):424-426.DOI:10.3760/cma.j.issn.1671-0274.2014.05.004.
[22] Kuroda S, Nishizaki M, Kikuchi S,et al.Double-Flap Technique as an Antireflux Procedure in Esophagogastrostomy after Proximal Gastrectomy[J].J Am Coll Surg,2016,223(2):e7-e13.DOI:10.1016/j.jamcollsurg.2016.04.041.
[23] Muraoka A, Kobayashi M, Kokudo Y.Laparoscopy-Assisted Proximal Gastrectomy with the Hinged Double Flap Method[J].World J Surg, 2016,40(10):2419-2424.DOI:10.1007/s00268-016-3510-5.
[24] Hayami M, Hiki N, Nunobe S,et al.Clinical Outcomes and Evaluation of Laparoscopic Proximal Gastrectomy with Double-Flap Technique for Early Gastric Cancer in the Upper Third of the Stomach[J].Ann Surg Oncol,2017, 24(6):1635-1642.DOI:10.1245/s10434-017-5782-x.
[25] Ichikawa D, Komatsu S, Kubota T, et al.Long-term outcomes of patients who underwent limited proximal gastrectomy[J].Gastric Cancer, 2014, 17(1):141-145.DOI:10.1007/s10120-013-0257-7.
[26] Kim DJ, Kim W.Laparoscopy-assisted Proximal Gastrectomy with Double Tract Anastomosis Is Beneficial for Vitamin B12 and Iron Absorption[J].Anticancer Res, 2016, 36(9):4753-4758.DOI:10.21873/anticanres.11031.
[27] Uyama I, Sugioka A, Fujita J, et al.Completely laparoscopic proximal gastrectomy with jejunal interposition and lymphadenectomy[J].J Am Coll Surg,2000,191(1):114-119.DOI:10.1016/s1072-7515(00)00283-0.
[28] Takagawa R,Kunisaki C,Kimura J,et al.A pilot study comparing jejunal pouch and jejunal interposition reconstruction after proximal gastrectomy[J].Dig Surg,2010,27(6):502-508.DOI:10.1159/000321224.
[29] Namikawa T, Oki T, Kitagawa H, et al.Impact of jejunal pouch interposition reconstruction after proximal gastrectomy for early gastric cancer on quality of life:short- and long-term consequences[J].Am J Surg,2012,204(2):203-209.DOI:10.1016/j.amjsurg.2011.09.035.
[30] 李国新,陈韬.全腹腔镜胃癌根治术及消化道重建发展现状与前景[J].中国实用外科杂志,2016,36(9):929-934.
[31] 张贤坤,刘宏斌,韩晓鹏,等.两种重建方式在腹腔镜近端胃癌切除术中的对比研究[J].中国普通外科杂志,2015,24(8):1191-1194.DOI:10.3978/j.issn.1005-6947.2015.08.027.
[32] 李双喜,李子禹,陕飞,等.完全腹腔镜近端胃切除双通路消化道重建术[J].中华胃肠外科杂志,2016,19(1):84-85.DOI:10.3760/cma.j.issn.1671-0274.2016.01.019.
[33] Yang K, Bang HJ, Almadani ME, et al.Laparoscopic Proximal Gastrectomy with Double-Tract Reconstruction by Intracorporeal Anastomosis with Linear Staplers[J].J Am Coll Surg,2016,222(5):e39-45.DOI:10.1016/j.jamcollsurg.2016.01.002.