引用文本：吴楚营, 叶凯. 腹腔镜近端胃切除side overlap吻合法的改良应用与思考[J/CD]. 消化肿瘤杂志（电子版）, 2026, 18(1): 51-56.

作者：吴楚营，叶凯

单位：福建医科大学附属第二医院胃肠外科，福建 泉州 362000

Authors：Wu Chuying, Ye Kai

Unit：Department of Gastrointestinal Surgery, the Second Affiliated Hospital, Fujian Medical University, Quanzhou 36200, Fujian, China

摘要：

目前胃上部癌发病率上升，近端胃切除术因保留胃功能成为早癌的优选术式，但术后反流、吻合口狭窄等并发症影响了患者的生活质量。因此，选择合适的消化道重建方式，减少术后并发症发生，是近端胃切除术的重点。传统side overlap吻合法存在吻合不稳定的问题，Yamashita等后续的改良使吻合位置更为精确、稳定。而改良管型胃side overlap吻合法更适用于高位食管胃结合部肿瘤，操作简便且抗反流效果好。笔者结合国内外实践和相关循证医学证据，对腹腔镜近端胃切除side overlap吻合法的原理、要点、改良、应用情况等进行阐述。

关键词：食管胃结合部肿瘤；腹腔镜；近端胃切除；管型胃；食管胃侧侧吻合

Abstract：

The incidence of upper gastric cancer is currently on the rise. Proximal gastrectomy, which preserves gastric function, has emerged as the preferred surgical option for early-stage cancer. However, postoperative complications such as reflux and anastomotic stenosis can significantly impact patients' quality of life. Therefore, selecting an appropriate method for digestive tract reconstruction to minimize postoperative complications is crucial in proximal gastrectomy. The traditional side overlap anastomosis technique presents challenges related to unstable anastomosis. Subsequent modifications by Yamashita et al. have enhanced the precision and stability of the anastomosis site. The modified tubular gastric side overlap anastomosis method is particularly suitable for tumors located at the high esophagogastric junction, offering both technical simplicity and a favorable anti-reflux effect. This article reviews the principles, key considerations, modifications, and applications of laparoscopic proximal gastrectomy with side overlap anastomosis based on both domestic and international practices as well as relevant evidence-based medical literature.

Key words：Esophagogastric junction neoplasms; Laparoscopy; Proximal gastrectomy; Tubular stomach; Esophagogastric side-to-side anastomosis

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