【摘要】 目的探讨远端胃癌手术的消化道重建方式。方法对我院1999年9月～2004年9月收治并手术治疗的115例远端胃癌进行回顾性分析。行BillrothⅡ式手术56例,BillrothⅠ式手术59例。比较术后并发症、住院时间、治疗费用、5年生存率。结果 BillrothⅡ式并发症发生率、术后住院时间、住院费用都远高于BillrothⅠ式(P<0.05)。两者的5年生存率相似(P>0.05)。结论 BillrothⅠ式吻合术重建消化道,操作简单,符合生理,减少术后并发症,提高患者术后的生存质量,是根治性远端胃切除术后理想的消化道重建方式。更多还原

【Abstract】 Objective To explore the digestive tract reconstruction in distal gastric cancer and compare two types of surgical reconstruction,gastroduodenostomy(BillrothⅠ anastomosis) or gastrojeunostomy(BillrothⅡ anastomosis).Methods A retrospective analysis was made of 115 cases of distal gastric cancers treated by surgery in our hospital from 1999 to 2004,and postoperative complications,hospital stay and costs,survival rates were compared between BillrothⅠ and Ⅱ gastrectomy.Results BillrothⅠ gastrectomy had better results in terms of complications,postoperative hospital stay and costs compared with BillrothⅡ(P<0.05) and there was no difference in 5-year survival rate between the two(P>0.05).Conclusion Surgical results of BillrothⅠ gastrectomy are significantly better than those of BillrothⅡ gastrectomy,suggesting that BillrothⅠ gastrectomy is a rational choice in surgical treatment of distal gastric cancer.更多还原