摘要
报告全胃切除ρ形空肠代胃治疗胃癌６４例。术后无吻合口瘘与手术死亡，无返流性食管炎和倾倒综合征，生存质量满意。术后１、３、５年生存率分别为７１．８％、４２．２％和３４．４％。本组结果表明：此种改良后的ρ形空肠代胃、空肠原位间置术式，安全、简便、省时，使常见的手术并发症和远期后遗症均可得到较好预防和纠正，术后生存质量高，是一种满意的代胃术。
The substitution of pshaped jejunum for stomach in 64 patients with gastric carcinomaafter total gastrectomy is reported. Survival rate of the first, third and fifth year after surgery were71. 8%, 42. 2% and 34. 4% respectively. Postoperative death and complications with fistula of anastomotic stoma, reflux esophagitis and dumping syndrome were not encountered in this all series. These results show that the operative procedure is a simple, safe, and can be accomplished within short time andthat the quality of living of the patient is good.
