文章摘要

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

作者: 1杨健, 1孟礼飞, 1肖海波
1 上海交通大学医学院附属新华医院 心胸外科
通讯: 肖海波 Email: xiaohaibo@xinhuamed.com.cn
DOI: 10.3978/.10.3978/j.issn.1005-6947.2017.10.018

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。
关键词： 胃切除术 食管肿瘤 食管切除术 综述文献

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

Authors: 1YANG Jian, 1MENG Lifei, 1XIAO Haibo
1 Department of Cardiothrocic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine

CorrespondingAuthor:XIAO Haibo Email: xiaohaibo@xinhuamed.com.cn

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.
Keywords： gastrectomy Esophageal Neoplasms Esophagectomy Review