摘要
目的探讨全胃切除消化道重建的理想术式。方法全胃切除术后利用游离的空肠在食管与十二指肠间建立１个“Ｏ”形环状空肠贮袋———“新胃”。结果３９例胃原发恶性肿瘤治疗后，３、５年无瘤生存率分别为６７．７％和５５．６％。生存至术后６个月以上者，均恢复了１日３餐的饮食习惯。术前和术后１年比较患者的体重，两者水平相当、增加和下降率分别为７１１％、１５８％和１３１％。全组无胸骨后疼痛及食物、消化液返流等症状，无倾倒综合征表现。在术后１年，“新胃”可代偿性扩大至原来的胃形状，且以“胃底”增大明显。结论间置“Ｏ”形环状空肠代胃消化道重建术是理想的、值得推广的全胃切除消化道重建术式。
Objective To discuss a satisfying method for alimentary continuity reconstruction after total gastrectomy. Method An “O” shaped jejunum pouch or a new “stomach” was constructed in between esophagus and duodenum after total gastrectomy. Results Thirtynine cases of gastric malignant tumor were treated by this method. The 3 and 5 years disease free survival rate were 67.7% and 55.6%. All the patients recovered their normal meal habit (3 meals a day) within 6 months postoperatively. Compared with the preoperative and the postoperative (one year after operation), body weight is equal level, increasing and decreasing in 71.1%, 15.8% and 13.1% of the cases respectively. There were no posterior sternal pain and food or digestive fluid reflux, no dumping syndrome in these patients. The volume enlargement of the “new stomach” was observed obviously, especially in“stomach fundus”. Conclusion This operation is a satisfying method for alimentary canal reconstruction after total gastrectomy and it is worthy to be recommended in gastric surgery.
出处
《中华医学杂志》
CAS
CSCD
北大核心
1998年第9期677-678,共2页
National Medical Journal of China
