中国实用外科杂志2017，Vol.37Issue(10)：1093-1095,3.DOI:10.19538/j.cjps.issn1005-2208.2017.10.06
晚期胃癌术中消化道重建方式选择及争议
Controversies and countermeasures on reconstruction of digestive tract during surgery for advanced gastric cancer
徐泽宽 1汪未知 1徐皓1
作者信息
- 1. 南京医科大学第一附属医院普通外科,江苏南京210029
- 折叠
摘要
Abstract
The choice of digestive tract reconstruction in advanced gastric cancer is closely related to the safety of operations and the quality of postoperative life of patients.For palliative distal gastrectomy,Billroth Ⅱ + Braun anastomosis or Roux-en-Y anastomosis is recommended while Roux-en-Y anastomosis is recommended after total gastrectomy.For patients who are not suitable for palliative tumor resection and with digestive tract obstruction,gastrojejunostomy or gastrojejunostomy + Braun anastomosis is preferred.For patients who is not able to tolerate surgical treatments,endoscopic stent implantation may be under consideration.In addition,if tumor is located near cardia or the extensive peritoneal metastasis exists,priority should be given to gastrotomy.If the patient is diagnosed with linitis plastica or gastric cancer involving the entire stomach,the jejunostomy should be considered.关键词
晚期胃癌/消化道重建/胃空肠吻合Key words
advanced gastric cancer/digestive tract reconstruction/gastrojejunostomy分类
医药卫生引用本文复制引用
徐泽宽,汪未知,徐皓..晚期胃癌术中消化道重建方式选择及争议[J].中国实用外科杂志,2017,37(10):1093-1095,3.
