全胃切除缺8字空肠袢代胃术(附16例临床分析)

Total Gastrectomy and Disabled-8 Anastomosis for Gastric Cancer(Clinical Analysis of 16 Cases)

目的:分析全胃切除缺8字空肠袢代胃术的临床疗效。方法:对本院2002年5月至2005年12月间实施的16例全胃切除手术后行缺8字吻合重建消化道的病例作回顾性总结。结果:本组经腹行全胃切除术16例,全部采用缺8字吻合重建消化道,手术后均恢复良好,无手术死亡,肺部并发症1例,无吻合口瘘及返流性食管炎发生。结论:缺8字吻合操作方便,代胃的空间大,也有利于防止返流性食管炎,不失为一种较为理想的全胃切除术后消化道重建术式。

Objective： To evaluate the efficacy of disabled-8 anastomosis for digestive tract reconstruction after total gastrectomy to avoid gastroesophageal reflux. Methods： From May, 2002 to Sep, 2005, 16 cases with gastric cancer were given disabled-8 anastomosis after total gastrectomy in our hospital. The postoperative complications and efficacy of the operation were analyzed retrospectively. Results： The postoperative complication were： pneumonia in 1 case, no anastomosing fistila and retluxesophagifis. There was no gastic juice reflux on x-rays. Conclusion： Disabled-8 anastomosis for digestive tract reconstruction is a good method for total gastrectomy with converient operation, more room for food and can avoid reflux gastroesophagitis.