浙江医学Issue(3)：222-225,4.
远端胃大部分切除术后消化道重建术式的对比研究
Comparison of different surgical modalities for alimentary reconstruction after subtotal gastrectomy
摘要
Abstract
Objective To compare the clinical efficacy of different surgical modalities for reconstruction of digestive canal after subtotal gastrectomy. Methods Ninety five patients with gastric cancer underwent subtotal gastrectomy with different surgical modalities for digestive reconstruction:30 patients with continual jejuna interposition (group A), 32 with Bil rothⅠanastomo-sis (group B) and 33 patients with Roux- en- Y anastomosis. The symptom in alimentary canal, visick ranking index, plasma albumin, food- intake and body weight were compared among groups and gastric stump and stoma were inspected by gastroscope in 6 months and 1 year after surgery. Results The PNI showed no significant difference among three groups before operation. There were no significant differences in plasma albumin, food- intake and body weight among 3 groups 6 months and 1 year after surgery. The abdominal distension in group A was less than that in group C, the bile reflux gastritis in group A was less than that in group B. Conclusion Continual jejunal interposition is a safe and effective procedure. Compared with Bil rothⅠanastomosis and Roux- en- Y anastomosis, it can shorten the operation time, keep physiological continuity of digestive canal, avoid bile regurgitation and better restore of digestive function for patients undergoing subtotal gastrectomy.关键词
胃癌/消化道重建/连续性空肠间置术/远端胃大部切除术Key words
Gastric cancer/Reconstruction of digestive canal/Continual jejunal interposition/Subtotal gastrectomy引用本文复制引用
何琦文,叶再元,徐继,胡浩威,邵钦树,张勤,孙元水..远端胃大部分切除术后消化道重建术式的对比研究[J].浙江医学,2015,(3):222-225,4.基金项目
浙江省科技计划项目 （）
