中国实用外科杂志2012，Vol.32Issue(8)：613-616,4.
胃癌远端胃切除后消化道重建理论与实践
Theory and practice of digestive tract reconstruction of distal gastrectomy for gastric cancer
摘要
Abstract
Advanced low third gastric cancer is the majority of gastric cancer in China. Distal gastrectomy is its principle procedure of surgical treatment. The digestive tract reconstruction pattern is the important factor for postoperative quality of life after distal gastrectomy. Conventional reconstruction patterns are Billroth I gastroduodenostomy and Billroth Ⅱ gastrojejunostomy. Regarding to preserve duodenal pathway or anti-bile reflux, there are several modified reconstruction patterns including Billroth Ⅱ gastrojejunostomy plus Braun jejunojejunostomy, Roux-en-Y gastrojejunostomy, jejunal interposition, jejunal pouch interposition and double tract reconstruction. Based on current evidences, Roux-en-Y gastrojejunostomy is preferred as the better procedure to improve postoperative quality of life, as well as of better feasibility and promotion value.关键词
胃癌/胃大部切除/消化道重建/生存质量Key words
gastric cancer/gastrectomy/digestive tract reconstruction/quality of life分类
医药卫生引用本文复制引用
胡建昆,陈心足..胃癌远端胃切除后消化道重建理论与实践[J].中国实用外科杂志,2012,32(8):613-616,4.基金项目
国家自然科学基金(81071777) （81071777）
教育部新世纪优秀人才支持计划(2012SCU-NCET-11-0343) （2012SCU-NCET-11-0343）
中央高校基本科研业务费专项资金,四川大学优秀青年学者科研基金(2011SCU04B19) （2011SCU04B19）
