食管癌术后管状胃功能研究和应用进展.PDF

中国胸心血管外科临床杂志 2018 年1 月第26 卷第0 期 • 1 •   ·综　述· 食管癌术后管状胃功能研究及应用进展 喻傲，焦子宸，王涛 南京大学医学院附属鼓楼医院 心胸外科（南京  210008 ） 【摘要】   食管癌是我国高发的恶性肿瘤之一，其治疗提倡以手术为主的综合治疗。近十年来，随着手术技 术和医疗器械的发展，管状胃得到广泛应用。虽然管状胃的优势越来越明显，但是对于管状胃的功能及应用仍有 许多细节和问题值得深入讨论和研究。本文将从管状胃的制作、优势、功能及应用等方面进行综述和讨论，并对 未来前景进行展望。 【关键词】  食管癌；管状胃；胃功能；加速康复外科 Study and application of function of tubular stomach after esophagectomy YU Ao, JIAO Zichen, WANG Tao Department of Thoracic and Cardiovascular Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, P.R.China Corresponding author: WANG Tao, Email: wangtao_pumc@ 【Abstract 】 Esophageal cancer is one of the most common malignant tumors in China. The comprehensive treatment of esophageal cancer based on operation is important. In recent ten years, with the development of surgical techniques and medical instruments, tubular stomach has been widely used. Although the advantages of tubular stomach are becoming more and more obvious, there are still many details and problems for the function and application of tubular stomach worthy of further discussion and study. In this paper, the technical progress, advantages, functions and applications of tubular stomach are reviewed and discussed, and the future prospect is predicted. 【Key words 】 Esophageal cancer; Tubular stomach; Gastric function; Enhanced recovery after surgery 我国是食管癌患者大国，我国食管癌的新发病 留了胃网膜右动脉的血供来源，此外，Liebermann- 人数占全球食管癌新发病总人数的一半以上，食管 Meffert 等还指出胃右动脉的血供几乎可以忽略， [1] 癌的治疗提倡以手术为主的