非离断式Roux-en-Y远端空肠储袋代胃术用于胃癌根治术后消化道重建的疗效观察

正根治性手术是目前公认的治疗胃癌患者的最有效途径,而全胃切除术后如何重建消化道的连续性则是更为重要的问题~(1])。尽管Roux-en-Y食管空肠吻合术是最常用的消化道重建术式~(2]),但是有些患者在采用Roux-en-Y吻合术后会发生Roux潴留综合征

Observation of the Effect of Uncut Roux-en-Y Distal Jejunum Storage Bag Replacement for the Reconstruction of Digestive Tract after Radical Gastrectomy

Objective To discuss the clinical effect of the uncut Roux-en-Y distal jejunum storage bag replacement for the reconstruction of digestive tract after radical gastrectomy. Methods A retrospective analysis of 73 cases of gastric cancer patients in Tongde Hospital of Zhejiang Province underwent radical gastrectomy, according to different methods of digestive tract reconstruction for URY group (non amputation group, 42 cases) and RY group (control group, 31 cases), and record the operation time, bleeding between the two groups of patients with digestive tract reconstruction time, the volume of intraoperative and postoperative exhaust time, hospitalization time and postoperative complication rate, data after SPSS 17 treatment. Results The operation time of URY group was shorter than that of group RY (P<0.05); the amount of bleeding in group URY digestive tract reconstruction time and intraoperative was lower than that in RY group (P<0.01); group URY, postoperative exhaust time and hospitalization time is shorter than the RY group (P<0.05); the overall complication rate of URY group were significantly lower than that of RY group (P<0.01). Intra abdominal infection and abdominal bleeding in two groups there was no statistical significance (P>0.05); group URY Roux-en-Y retention syndrome (RSS) incidence rate lower than the RY group, the difference was statistically significant (P<0.05); anastomotic stenosis and duodenal stump fistula in two groups were not there. Conclusion For patients with gastric cancer after total gastrectomy with uncut Roux-en-Y distal jejunal pouch on behalf of the stomach surgery, which can effectively reduce the operation time and the reconstruction of the digestive tract, reduce the amount of bleeding, shorten the hospitalization time, and can reduce the incidence of postoperative complications, worthy of clinical application.