摘要
目的探讨改良袢式吻合在全胃切除术后消化道重建中的临床效果。方法 2008年1月～2010年10月安阳肿瘤医院行全胃切除术116例,其中76例行改良袢式吻合,40例行传统Roux-en-Y吻合。分析两组患者的临床及随访资料,比较两种重建方式在手术时间、术后并发症等方面的差异。结果两种消化道重建方式术后并发症的发生率基本相同,改良袢式组手术重建时间较Roux-en-Y组短,差异有统计学意义([24±9)min vs(39±11)min,P<0.05],术后1年随访两组生活质量、体质量变化及血清学指标差异无统计学意义,改良袢式组术后Roux-en-Y潴留综合征(RSS)发生率较低(2.6%vs 7.5%,P<0.05)。结论改良袢式吻合消化道重建操作简单,不增加术后并发症发生率,可安全地用于全胃切除术后的消化道重建,尤其适合病变较晚的高龄患者。
【Objective】 To investigate the efficacy of modified jejunal loop ananstomosis following total gastrectomy.【Methods】 One hundred and sixteen cases with stomach cancer undergoing total gastrectomy between Jan.2008 and Oct.2010 were included.Of the patients,76 underwent digestive tract reconstruction with modified jejunal loop ananstomosis,the other 40 who underwent conventional Roux-en-Y esophagojejunostomy served as controls.The clinical and follow-up data,including reconstruction time and complications, were compared between the two groups.【Results】 There were no significant statistical differences between the two groups in the incidence of postoperative complications.The reconstruction time was shorter in modified loop ananstomosis group [（24 ± 9） min vs（39 ± 11） min,P 0.05].No significant difference was observed between the two groups in quality of life,the weight and blood index through one-year follow-up after operation.The incidence of Roux-en-Y stasis syndrome（RSS） was lower in modified loop ananstomosis group than that in Roux-en-Y ananstomosis group（2.6% vs 7.5%,P 0.05）.【Conclusion】 The modified jejunal loop ananstomosis is a simple and safe surgical procedure for digestive tract reconstruction following total gastrectomy without increasing the incidence of postoperative complications,especially for elderly patients with later stages of cancer.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第5期101-103,共3页
China Journal of Modern Medicine
关键词
全胃切除术
改良袢式吻合
ROUX-EN-Y吻合
total gastrectomy
modified jejunal loop anastomosis
Roux-en-Y jejunal anastomosis
