【摘要】 目的:探讨全胃切除后消化道重建方式的合理选择。方法:比较两种消化道重建方法术后病人的并发症及营养差异。结果:两种方法术后并发症差异无显著性。P袢空肠Roux-en-Y重建术后早期适应性较好;调节性双通道空肠代胃重建术术后病人后期营养优于前者。结论:全胃切除后,P袢Roux-en-Y吻合术和调节性双通道空肠代胃重建术在改善病人术后症状和生活质量等方面是比较理想的重建术式,但调节性双通道空肠代胃重建术是一种更符合生理的术式。更多还原

【Abstract】 Objective:To explore the reasonable choice of the digestive tract reconstruction after total gastrectomy.Method:To observe the difficulty of two different reconstruction surgery and the patient’s postoperative complications and nutritional differences.Results:Two methods of operation and postoperative complications were no different.P limb Roux-en-Y reconstruction was good early postoperative;Functional Roux late nutrition was better than the former home anastomosis.Conclusion:P Roux-en-Y and functional jejunal loop between the home anastomosis in the patients with symptoms and improving quality of life is an ideal type reconstruction after total gastrectomy.But functional Roux home anastomosis is a more physiological procedure.If conditions permit,priority should be given to reconstruction of the digestive tract.更多还原