中国现代医学杂志2017，Vol.27Issue(6)：101-105,5.DOI:10.3969/j.issn.1005-8982.2017.06.021
根治性全胃切除术后uncut Roux-en-Y吻合的应用研究
Application value of uncut Roux-en-Y anastomosis after radical total gastrectomy
申腾飞 1陈文超 1韩斌1
作者信息
- 1. 郑州大学第二附属医院 普外科,河南 郑州 450014
- 折叠
摘要
Abstract
Objective To analyze the safety and effect of uncut Roux-en-Y esophago-jejunostomy in the digestive tract reconstruction after radical total gastrectomy. Methods The clinic data of 163 cases who under-went radical total gastrectomy for gastric cancer were retrospectively analyzed. They were divided into uncut Roux-en-Y group (uncut group) and pure Roux-en-Y group (Roux group) according to the ways of digestive tract reconstruction. Surgical reconstruction time, incidences of early and long-term postoperative complications, occurrence of Roux stasis syndrome (RSS), single meal intake 12 months after operation, the prognostic nutri-tional index (PNI) and the Visick rating index were compared. Results The time of digestive tract reconstruction in the uncut group was significantly shorter than that in the Roux group (P<0.05). There was no significant difference in the incidence of the early postoperative anastomosis complications, postoperative dumping syndrome or reflux esophagitis between the two groups (P>0.05). The incidence of RSS in the uncut group was signifi-cantly lower than that in the Roux group (P<0.05). The variation trends of the PNI were different in the two groups, the PNI in the uncut group was significantly higher than that in the Roux group 12 months after operation (P<0.05). The proportions of the patients of the Visick grade Ⅰ and Ⅱ and the food intake reaching 80% of the preoperative level in the uncut group were significantly higher than those in the Roux group 12 months after operation (P<0.05). Conclusions The uncut Roux-en-Y anastomosis doesn't increase the operative risks or the occurrence rates of the postoperative anastomosis complications, while has apparent advantages in the improvement of postoperative food intake and nutrition status and reduction of occurrence rate of RSS;therefore it has the value of clinical promotion.关键词
全胃切除/uncut Roux-en-Y/Roux滞留综合症Key words
total gastrectomy/uncut Roux-en-Y/Roux stasis syndrome分类
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申腾飞,陈文超,韩斌..根治性全胃切除术后uncut Roux-en-Y吻合的应用研究[J].中国现代医学杂志,2017,27(6):101-105,5.
