摘要
目的探讨全胃切除术后合理的消化道重建术式。方法对185例全胃切除术采取了3种不同的术式,对其手术时间、手术并发症、术后半年饮食状况、消化道症状及营养指标进行对比观察。结果反“7”字空肠食管Roux-en-Y吻合术和“P”形空肠袢Roux-en-Y吻合术均具有抗反流性食管炎的作用,且明显优于Lahay吻合术(P<0.01)。反“7”字空肠食管Roux-en-Y吻合术平均手术时间(3h)少于“P”形空肠袢Roux-en-Y吻合术(3.5h)、并发症(10%)也少于后者(13%)。结论反“7”字空肠食管Roux-en-Y吻合术及“P”形空肠袢Roux-en-Y吻合术是全胃切除术后可选择的消化道重建术式。
Objective To evaluate the rationality of diffe rent types of digestive reconstruction after total gastrectomy.Methods Three types of digestive reconstruction were performed in 185cases of to tal gastrectomy.The operative period,postoperative complications and fo od intake,digestive tract symptoms ,nutrition at 6months after surgery were comparatively analyzed.Results Roux-en-Y jejunal reverse 7-type anastomosis group and Roux-en-Y jejunal P-type anastomosis group playe d a role in anti-esophageal reflux.Both of these reconstructive approa ches were obviously superior to Lahays anastomosis group in anti-esophageal reflux.Roux-en-Y jejunal reverse 7-type anastomosis group led to shorter operative perio d and less postoperative complicatio ns as compared with Roux-en-Y jejunal P-type anastomosis group.Conclusion Roux-en-Y jejunal reverse 7-type an astomosis and Roux-en-Y jejunal P-type anastomosis are adoptable methods of digestive reco nstruction after total gastrectomy .
出处
《中华胃肠外科杂志》
CAS
2002年第3期198-200,共3页
Chinese Journal of Gastrointestinal Surgery
