摘要
全胃切除术是治疗胃癌,尤其是胃体癌的一种重要的手术方式。术后消化道重建的方式多种多样,但是由于术后并发症的发生,至今对哪一种重建方式最好仍没有定论。目前对保留十二指肠食物通道连续性的必要性仍有争议;由于重建贮袋可减少并发症的发生,提高患者的生活质量。对贮袋重建的必要性基本取得了一致看法。本文对近年来全胃切除术后消化道重建方式及其手术效果进行综述。
Total gastrectomy is a very important mode of therapy for gastric cancer. Many different types of reconstruction have been proposed, but there is no definitive conclusions as to which procedure is the best because of the postoperative complications, such as dumping syndrome, regurgitant esophagitis, malnutrition and so on . In this review, the author summarized recent clinical studies addressing gastrointestinal reconstruction following total gastrectomy. There is still some debate on preserving duodenal passage and the pouch reconstruction can provide improvement of the quality of life in patients receiving total gastrectomy.
出处
《中国癌症杂志》
CAS
CSCD
2006年第3期240-242,244,共4页
China Oncology
关键词
全胃切除术
消化道重建
贮袋
胃癌
total gastrectomy
reconstruction
pouch
gastric cancer
