单通道间置空肠在腹腔镜进展期胃癌根治术中的应用

目的：探讨腹腔镜进展期胃癌根治术行单通道间置空肠代胃术的临床疗效。 方法：回顾2011年1月—2013年6月收治的21例进展期胃癌患者资料，患者均行全胃切除术，消化道重建采用单通道间置空肠代胃，主要观察指标为术后并发症、术后营养状况、消化道症状等。 结果：21例患者手术顺利，均痊愈出院。术后未出现吻合口瘘、倾倒综合征、反流性食管炎等并发症。术后6个月复查胃镜及上消化道钡餐造影提示各吻合口黏膜光滑、通畅。患者营养良好，生活质量满意。 结论：腹腔镜进展期胃癌根治术行单通道间置空肠代胃术在改善患者术后消化道症状和生活质量等方面是比较理想的重建术式。

Single loop jejunal interposition following laparoscopic radical gastrectomy for advanced gastric cancer

Objective: To investigate the clinical efficacy of single loop jejunal interposition following laparoscopic radical gastrectomy for advanced gastric cancer. Methods: The data of 21 patients with advanced gastric cancer treated from January 2011 to June 2013 were reviewed. All patients underwent total gastrectomy followed by single loop jejunal interposition for digestive tract reconstruction, and the clinical variables that included postoperative complications, postoperative nutritional status and gastrointestinal symptoms were analyzed. Results: Operations were successfully completed in the 21 patients, and all of them were discharged from hospital after recovery. No postoperative complications such as anastomotic fistula, dumping syndrome or reflux esophagitis occurred. Six months after surgery, gastroscopy and upper gastrointestinal tract contrast examination showed that the anastomotic stomas of the patients were smooth and patent, and the patients had satisfactory nutritional status and favorable quality of life. Conclusion: Single loop jejunal interposition after laparoscopic radical gastromy for advanced gastric cancer is an ideal reconstruction with respect to improving the postoperative gastrointestinal symptoms and quality of life.