远端胃切除术后的消化道重建

尽管远端胃切除术后消化道重建方式多种多样，但在我国，BillrothⅠ和BillrothⅡ式仍然是主流的重建方式。 Roux-en-Y、间置空肠、间置空肠储袋、双通道和保留幽门的重建方式以及适于腹腔镜下手术的重建和吻合技术方法，近年逐渐增加，且成为研究的热点。虽然消化道重建目前尚无统一而明确的规范，但结合患者的实际情况、经济状况、社会因素以及术者的技术水平，合理地选择与应用最佳的重建方法，是业界的共识。

Reconstruction of digestive tract after distal gastrectomy

There are various types of digestive tract reconstruction techniques after distal gastrectomy. Among them, Billroth Ⅰ and Ⅱ are still the predominant option in China at present. In recent years, Roux-en-Y configuration, jejunal interposition, J-pouch interposition （JPI）, double-tract reconstruction , pylorus-preserving method , and laparoscopic reconstruction and anastomosis techniques have gained more attention in recent years. Although there is no universal and explicit guideline, the current consensus is that the reconstruction style should be adopted by the principles of digestive tract reconstruction, based on patient′s condition, socioeconomic status and surgeon′s experience.