残胃切除的重建术式

目的：探讨残胃重建的手术方式。方法：回顾性分析我院1995年至2004年31例残胃切除重建手术方式、临床效果以及文献回顾。结果：残胃全切除或部分切除术后采用空肠袋代胃加食道空肠Roux—Y吻合术、空肠袢q形代胃加食道空肠Roux—Y吻合、肠袢式吻合或者Billoth Ⅱ式重建都可以取得较好效果。结论：残胃切除的重建方式应该朝着简单、接近生理、防止并发症和提高生活质量的方向去选择和改良，本文所采用的几种方式都可以成为常规手术的选择。

Reconstruction after resection of residual stomach

Objective: To study how to reconstruct digestive tract after resection of residual stomach. Method: Respectively analyze 31 cases of reconstruction after resection of residual stomach and review literature. Result: Four kinds of reconstruction have been used and outcome is good, including interposition of jejunal pouch plus esophageal jejunal Roux-Y anastomosis, q-shape jejunal pouch plus esophageal jejunal anastomosis, jejunojejunal plus esophageal jejunal anastomosis and Billoth II reconstruction. Conclusion: Reconstruction should be towards simpleness, less complications, physiological continuation and higher life quality. Four kinds of reconstruction we used can be chosen as routine operation.