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全胃切除缺8字空肠袢代胃术(附16例临床分析)
引用本文:赵平 任卫国 唐令超 丁志. 全胃切除缺8字空肠袢代胃术(附16例临床分析)[J]. 四川肿瘤防治, 2006, 19(3): 178-179
作者姓名:赵平 任卫国 唐令超 丁志
作者单位:四川省肿瘤医院腹部外科 四川成都610041(赵平,唐令超,丁志),广元市410医院普外科 四川广元628017(任卫国)
摘    要:目的:分析全胃切除缺8字空肠袢代胃术的临床疗效。方法:对本院2002年5月至2005年12月间实施的16例全胃切除手术后行缺8字吻合重建消化道的病例作回顾性总结。结果:本组经腹行全胃切除术16例,全部采用缺8字吻合重建消化道,手术后均恢复良好,无手术死亡,肺部并发症1例,无吻合口瘘及返流性食管炎发生。结论:缺8字吻合操作方便,代胃的空间大,也有利于防止返流性食管炎,不失为一种较为理想的全胃切除术后消化道重建术式。

关 键 词:胃肿瘤  全胃切除术  消化道重建
文章编号:1007-0281(2006)03-0178-02
收稿时间:2006-03-24
修稿时间:2006-04-28

Total Gastrectomy and Disabled-8 Anastomosis for Gastric Cancer(Clinical Analysis of 16 Cases)
ZHAO Ping, REN WEI-guo, TANG Ling-chao, et al. Total Gastrectomy and Disabled-8 Anastomosis for Gastric Cancer(Clinical Analysis of 16 Cases)[J]. Sichuan Journal of Cancer Control, 2006, 19(3): 178-179
Authors:ZHAO Ping   REN WEI-guo   TANG Ling-chao   et al
Affiliation:Department of Surgery, Sichuan Cancer Hospital, Chengdu 610041, China
Abstract:Objective: To evaluate the efficacy of disabled-8 anastomosis for digestive tract reconstruction after total gastrectomy to avoid gastroesophageal reflux.Methods: From May,2002 to Sep,2005,16 cases with gastric cancer were given disabled-8 anastomosis after total gastrectomy in our hospital. The postoperative complications and efficacy of the operation were analyzed retrospectively.Results: The postoperative complication were: pneumonia in 1 case,no anastomosing fistila and refluxesophagitis.There was no gastic juice reflux on x-rays.Conclusion: Disabled-8 anastomosis for digestive tract reconstruction is a good method for total gastrectomy with converient operation,more room for food and can avoid reflux gastroesophagitis.
Keywords:Gastric Carcinoma  Total Gastrectomy  Disabled-8 Anastomosis  
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