腹腔镜外科杂志2016，Vol.21Issue(10)：729-732,4.DOI:10.13499/j.cnki.fqjwkzz.2016.10.729
H形吻合在腹腔镜下远端胃癌根治术中的应用
Application of H reconstruction in laparoscopic distal gastrectomy for gastric cancer
摘要
Abstract
Objective:To evaluate the clinical efficacy of H reconstruction in digestive tract reconstruction after laparoscopic distal gastrectomy for gastric cancer.Methods:Clinical data of 152 patients who underwent laparoscopic distal gastrectomy for gastric cancer with complete follow-up data between Jan.2013 and Jun.2015 were retrospectively analyzed.Patients were divided into H group (20 cases with H reconstruction),BⅠgroup (53 cases with BillrothⅠreconstruction),BⅡgroup (58 cases with modified BillrothⅡreconstruction) and Roux-en-Y group (21 cases with Roux-en-Y reconstruction) according to reconstructive methods.The differences of age,sex,size,stage and grade of tumors in the four groups were not statistically significant.Results:The reconstruction time in the H group was longer than that in the BⅠ group,shorter than that in the Roux-en-Y group with statistically significant difference,and the difference was not statistically significant compared with the BⅡgroup.The intraoperative blood loss in the H group was less than that in the BⅠgroup.There were fewer gastrointestinal drainage per day and the shorter time to eat liquid diet in the H group compared with those in the other three groups with statistically significant difference.The time of postoperative exhaust was shorter in the H group than that in the Roux-en-Y group.No complications occurred such as anastomotic stenosis,bleeding or leakage in the H group.Conclusions:The H reconstruction can reduce the time of operation,postoperative exhaust time,complications such as gastric retention and anasto-motic obstruction.It may be the preferred technique for reconstruction after laparoscopic distal gastrectomy of gastric cancer.关键词
胃肿瘤,远端/胃癌根治术/腹腔镜检查/消化道重建/H形吻合Key words
Stomach neoplasms,distal/Radical gastrectomy/Laparoscopy/Digestive tract reconstruction/H reconstruction分类
医药卫生引用本文复制引用
李军辉,曹罡,张焱,张莉,杨荔,杨文彬..H形吻合在腹腔镜下远端胃癌根治术中的应用[J].腹腔镜外科杂志,2016,21(10):729-732,4.基金项目
国家自然科学基金（编号81472246）；陕西省自然科学基础研究计划项目 （）
