全胃切除ρ型空肠代胃术在胃癌治疗中的应用与评价

Evaluation of ρ-shaped esophago-jejunostomy after total gastrectomy in gastric cancer patients

食管空肠吻合口瘘、食管炎和“无胃综合征”是全胃切除术后严重的并发症。为此，作者近９年依据胃癌生物学特性和根治的要求，对６１例胃癌患者应用改良全胃切除ρ型空肠代胃术。术后资料表明，几点技术改进可防止有关严重并发症的发生，使患者术后存活率达３７．３％，且精神、营养状况良好，均能从事家务和恢复部分体力劳动。我们认为，该术式简便易行，提高了胃癌存活率和生存质量。

Abstract The serious complications of esophagoejunostomy after total gastrectomy were anostomotic leakage,esophagitis and non-gastric syndrome. We used modified ρ-shaped esophagojejunostomy after total gastrectomy in 61 patients. The five-year survival rate was 37.3% in this group. Follow-up found most patients ingood mental and nutrient situation, and many were back to work.