CAJ | 학술논문

腹腔镜全胃切除食管空肠吻合的消化道重建技术主要包括应用圆形吻合器的吻合技术和应用直线切割吻合器的吻合技术两大类。圆形吻合器吻合技术主要包括手工吻合法、荷包钳法、Hiki改良特殊抵钉座吻合技术、经口钉砧头系统（OrVilTM）和反穿刺器技术。直线切割吻合器吻合技术主要包括侧侧吻合技术和Overlap侧侧吻合技术。食管空肠吻合技术存在多种选择，不同技术存在不同优势及相应的限制，本文从吻合技术的发展及吻合技术的选择两方面介绍腹腔镜全胃切除食管空肠吻合技术研究进展。
복강경전위절제식관공장문합적소화도중건기술주요포괄응용원형문합기적문합기술화응용직선절할문합기적문합기술량대류。원형문합기문합기술주요포괄수공문합법、하포겸법、Hiki개량특수저정좌문합기술、경구정침두계통（OrVilTM）화반천자기기술。직선절할문합기문합기술주요포괄측측문합기술화Overlap측측문합기술。식관공장문합기술존재다충선택，불동기술존재불동우세급상응적한제，본문종문합기술적발전급문합기술적선택량방면개소복강경전위절제식관공장문합기술연구진전。
The esophageal jejunum anastomosis of the digestive tract reconstruction techniques in laparoscopic total gastrectomy includes two categories: circular stapler anastomosis techniques and linear stapler anastomosis techniques. Circular stapler anastomosis techniques include manual anastomosis method, purse string instrument method, Hiki improved special anvil anastomosis technique , the transorally inserted anvil(OrVilTM) and reverse puncture device technique. Linear stapler anastomosis techniques include side to side anastomosis technique and Overlap side to side anastomosis technique. Esophageal jejunum anastomosis technique has a wide selection of different technologies with different strengths and the corresponding limitations. This article will introduce research progress of laparoscopic total gastrectomy esophagus jejunum anastomosis from both sides of the development of anastomosis technology and the selection of anastomosis technology.