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Updated: Jan 28, 2026

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靠近性胃切除术后抗逆流重建的双 fundoplication:一个单中心回顾案例系列
Yu-Xuan Yan1, Huai-Ping Cui1, Ji-Zhun Zhang1
1Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 324 Jingwu Weiqi Road, Huaiyin District, Jinan, Shandong, 250021, China.
BMC surgery
|January 26, 2026
概括
靠近胃切除术 (PG) 后的简化双抗反流食管胃切除术 (EG) 显示出有前途的安全性和可行性. 这种技术有效地管理反流症状,改善早期的术后生活质量.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 靠近性胃切除术 (PG) 后的食管胃切除术 (EG) 容易导致反流并发症.
- 现有的抗反流程序是有效的,但在技术上具有挑战性.
- 开发了一种使用双的新型,无设备的抗反流EG技术.
研究的目的:
- 评估简化双抗反流剂EG的安全性和有效性.
- 为了评估手术后的反流症状和这种新手术后的生活质量.
主要方法:
- 对11名患者进行腹腔镜普吉术,并进行双本部复合的回顾性分析.
- 评估的结果包括手术时间,并发症 (Clavien-Dindo),反流症状 (RDQ) 和生活质量 (WHOQOL-BREF).
- 统计分析比较了使用配对测试的术前和术后得分.
主要成果:
- 所有手术都成功完成,没有任何并发症.
- 平均手术时间为189.9分钟;平均住院时间为7.4天.
- 没有患者需要质子抑制剂;没有发现显著的逆流食道炎. RDQ得分稳定;WHOQOL-BREF得分在社会/环境领域有所改善.
结论:
- 简化的双EG是安全的,可行的,并证明了反流管理的早期结果.
- 最小的技术要求和良好的回收表明了更广泛应用的潜力.
- 需要进一步的比较研究来证实长期疗效.
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