| P型空肠袢代胃术在胃癌全胃切除术中的应用 |
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| 引用本文： | 陈斌,王梦龙.P型空肠袢代胃术在胃癌全胃切除术中的应用[J].江西医学院学报,2005,45(1):64-65,67. |
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| 作者姓名： | 陈斌 王梦龙 |
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| 作者单位： | 江西医学院第二附属医院普外科，江西南昌330006 |
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| 摘 要： | 目的 控讨P型空肠袢代胃术在胃癌全胃切除术中应用的合理性。方法 38例胃癌病人经腹全胃切除后，行食管-P型空肠袢吻合，空肠-空肠Roux-Y吻合，术后加强营养支持治疗。结果 本组无手术死亡病例，无食管空肠吻合口瘘等严重并发症发生，具有创伤小，恢复快，并发症少等特点。结论 经腹胃癌全胃切除P形空肠代胃术是一种安全、实用、疗效满意的手术方法，术后加强营养支持治疗，有益于病人顺利康复。
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| 关 键 词： | 胃癌 全胃切除 消化道重建 |
| 文章编号： | 1000-2294(2005)01-0064-02 |
Application of P-Shaped Roux-Y Jejunal Interposition in Total Gastrectomy for Gastric Carcinom |
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| CHEN Bin,WANG Meng-long.Application of P-Shaped Roux-Y Jejunal Interposition in Total Gastrectomy for Gastric Carcinom[J].Acta Academiae Medicinae Jiangxi,2005,45(1):64-65,67. |
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| Authors: | CHEN Bin WANG Meng-long |
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| Abstract: | Objective To explore the rationality of application of P-shaped Roux-Y jejunal interposition in total gastrectomy for gastric carcinoma.Methods After total gastrectomy through celiotomy in thirty-eight cases of gastric carcinoma patients,P-shaped jejuno-esophagostomy and Roux-y jejuno-jejunostomy were used in operation,continuing with nutrition and sustaining treatment thereafter.Results There was neither death nor sever complications such as anastomotic leakage.And rapid recuperation.Conclusion Total gastrectomy through celiotomy with P-shaped jejuno-esophagostomy is an operation in terms of safety,satisfaction and practicality.It is in favor of patients with nutrition and sustaining treatment after operation. |
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| Keywords: | gastric carcinoma total gastrectomy digestive tract reconstruction |
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