全胃切除功能性间置空肠代胃术72例临床分析

Clinical analysis of 72 cases of functional jejunal interposition after total gastrectomy for gastric surgery

目的:探讨功能性间置空肠代胃消化道重建在全胃切除术后的应用价值。方法:回顾性分析2006年1月-2011年12月施行全胃切除功能性间置空肠代胃术72例患者的临床资料。结果:全组无手术死亡和吻合口瘘发生。随访12个月至24个月,部分病例出现轻度反流性食管炎,代胃容量300ml以上,排空时间30-100min。术后生活质量有所提高。结论:功能性间置空肠代胃术是一种安全可靠、效果满意的消化道重建手术方式。

Objective：To explore the application value of functional interposition of jejunum for stomach digestive tract reconstruction after total gastrectomy.Methods：A retrospective analysis was performed in 72 patients with gastric underwent total gastrectomy on functional jejunal interposition.Results：There were no operation death and anastomotic fistula.Follow-up of 12 months to 24 months,some patients had mild reflux esophagitis,gastric emptying the generation capacity of 300ml,30-100min.The quality of life was improved after operation.Conclusion：Functional jejunal interposition pouch is safe and reliable,with satisfactory effect of digestive tract reconstruction.