引用文本：陈浩, 黄俊豪, 张博威, 等. 近端胃保功能手术的发展历程与未来[J/CD]. 消化肿瘤杂志（电子版）, 2026, 18(1): 42-50.

作者：陈浩，黄俊豪，张博威，杨祖立

单位：中山大学附属第六医院普通外科（胃外科二区），广东省结直肠盆底疾病研究重点实验室，广州市黄埔区中六生物医学创新研究院，广东 广州 510655

Authors：Chen Hao, Huang Junhao, Zhang Bowei, Yang Zuli

Unit：Department of Gastric Surgery Section 2, Department of General Surgery, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Biomedical Innovation Center, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, Guangdong, China

摘要：

随着早期胃癌检出率的提升和患者对术后生活质量要求的提高，近端胃保功能手术已成为胃癌外科治疗的重要发展方向。本文系统回顾了近端胃保功能手术的发展历程，重点阐述了从传统全胃切除术向功能保留性手术的理念转变，详细解析了双肌瓣吻合、双通道重建、管状胃及食管胃侧壁吻合等核心抗反流技术的操作要点与临床应用，并展望了该领域的未来发展方向。在严格把握适应证的前提下，近端胃保功能手术能够在保证肿瘤根治性切除的同时，改善患者的术后生活质量及营养状况。

关键词：胃癌；近端胃切除术；功能保留手术；消化道重建；抗反流

Abstract：

Driven by the rising detection of early gastric cancer and growing patient demand for better postoperative quality of life, function-preserving proximal gastrectomy (FPG) has gained prominence as a critical developmental direction in the surgical treatment of gastric cancer. This article systematically reviews the evolution of FPG, highlighting the paradigm shift from traditional total gastrectomy to function-preserving strategies. Specifically, the review elaborates on the technical innovations and clinical applications of core anti-reflux reconstruction techniques, including the double-flap technique, double-tract reconstruction, gastric tube reconstruction, and side overlap with fundoplication by Yamashita. Furthermore, future perspectives regarding minimally invasive advancements and procedural standardization are discussed. Provided that surgical indications are strictly observed, FPG can significantly improve postoperative quality of life and nutritional status without compromising oncological safety.

Key words：Gastric cancer; Proximal gastrectomy; Function-preserving surgery; Alimentary tract reconstruction; Anti-reflux

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