中国普通外科杂志2012，Vol.21Issue(4)：377-381,5.
近端胃癌根治术中消化道重建两种新术式的初步研究
Two novel procedures for digestive tract reconstruction in proximal radical gastrectomy: a preliminary study
王国富 1朱延收 1郑春辉 1薛英威 1王宽1
作者信息
- 1. 哈尔滨医科大学附属第三医院胃肠外科,黑龙江哈尔滨150081
- 折叠
摘要
Abstract
Objective: To investigate the methods of digestive tract reconstruction to reduce reflux in patients with proximal gastric cancer after gastrectomy.Methods: Two novel anastomosis procedures for proximal gastrectomy were designed, which were gastric cardia-preserving esophagogastrostomy and circular jejuna! Interposition pouch reconstruction. The clinical results of the two novel procedures were compared with those of the conventional proximal gastrectomy anastomosis and total gastrectomy.Results: The preoperative clinicopathologic data of the patients among the 4 groups were comparable (P>0.05). After surgery, the body weight and prognostic nutritional index on the 6th month had no significant differences among the groups (P>0.05), but both were significantly higher on the 24th month in the two groups with novel procedures than those in the groups with conventional procedures (P<0.05). The quality of life, incidence of esophageal reflux and Visick's grade of the two groups with new procedures were significantly better than those of the groups with conventional anastomoses at 3 years after surgery (P<0.0l). There were no statistical differences among the 4 groups in the 1-, 3- and S-year survival rate (P>0.05).Conclusion: The proximal gastrectomy with gastric cardia preservation and circular jejunal interposition pouch reconstruction are hopeful to become new procedures for surgical treatment of cancer of the gastric fundus and cardia.关键词
胃肿瘤/外科学/消化道重建/方法/生活质量/胃食管反流Key words
Stomach Neoplasms/surg/ Digestive Tract Reconstruction/methods/ Quality of Life/ Gastroesophageal Reflux分类
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王国富,朱延收,郑春辉,薛英威,王宽..近端胃癌根治术中消化道重建两种新术式的初步研究[J].中国普通外科杂志,2012,21(4):377-381,5.
