全胃切除、空肠翻转代胃消化道重建术的研究

目的探讨更加符合生理学要求的全胃切除消化道重建术式。方法对30例例胃癌患者行根治性全胃切除、翻转部分空肠代胃消化道重建术。结果30例患者术后未发生吻合口瘘及狭窄，无返流性食管炎、倾倒综合征和“无胃”综合征的发生。1年生存率为82．85（24／29），2年生 率为65．5％（19／29），3年生存率为52．6％（10／19）。82．8％（24／29）的患者术后6个月体重恢复或超过术前水平。结论根治性全胃切除，翻转部分肠代胃消化道重建术，是1种简捷易行，安全可靠的理想术式。

Radical Total Gastrectomy Gasto-intestinal Reconstruction with Part Turned Jejunum Anastomosis as Gastric Substitute

Objective To investigate a method of gastric intestinal reconstruction which conform to the request of physiology followed radical total gastrectomy.Methods From Oct 1995 to June 1997,30 cases were analyzed who underwent gastro intestinal reconstruction with part turned jejunum anastomosis as gatric substitute after radical total gastrectomy.Results No fistula and obstruction in the position of anastomosis,no reflux esophagitis,dumping syndrome and stomachless syndrome occurred,the survival rate of 1,2,3 year postoperation was 82.8%,65.5% and 52.6% respectively.The body weight of 82.8% patients after 6 months postoperation was recovered or increased.Conclusion Part turned jejunum anastomosis as gastric substitute after radical total gastrectomy is a simple,safe and ideal method for gastro intestinal reconstruction.It coform to the request or physiology.