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目前管状胃替代食管的方式在食管癌手术中已被广泛采用,正逐渐替代传统的全胃代食管术式,管状胃的优势在临床中也被越来越广泛地证明。其并发症、近期效果及远期生存质量都优于其它食管重建术式。虽然管状胃代食管术式已成为食管外科专家的共识,但在临床应用上仍有许多细节和问题值得进一步研究探讨,并在今后的应用中不断改善。本文将对管状胃目前在临床上的应用现状及进展,从管状胃的制作、优势以及未来前景进行综述,并对存在的问题进行讨论。
At present, the method of replacing the esophagus with tubular stomach has been widely used in esophageal cancer surgery and is gradually replacing the traditional whole-body replacement esophagus type. The advantages of tubular stomach have also been more and more widely proved in clinical practice. Its complications, short-term effects, and long-term quality of life are superior to other esophageal reconstruction procedures. Although the tubular gastro-esophageal esophagectomy has become the consensus of esophageal surgeons, there are still many details and problems in clinical application that warrant further investigation and exploration, and will continue to improve in future applications. This article will review the current status and progress of the clinical application of tubular stomachs, summarize the production, advantages, and future prospects of tubular stomachs, and discuss the existing problems.