全腹腔镜Uncut Roux-en-Y胃空肠吻合术

Totally laparoscopic uncut Roux-en-Y gastrojejunostomy

远端胃切除后消化道重建的方法很多,各有优劣。Uncut-Roux-en-Y胃空肠吻合术保留了输入袢蠕动的连续性,可以减少术后滞留综合征、胆汁返流等不适。此手术完全在腹腔镜下完成,包括胃-空肠吻合、空肠空肠吻合(Braun's吻合)及不切断的输入袢阻断。5例患者术后造影提示Uncut-Roux-en-Y吻合术后滞留综合征的发生减少。

There are many ways to reconstruct the digestive tract after distal gastrectomy, each of which has its own advantages and disadvantages. Uncut-Roux-en-Y gastrojejunostomy, retaining the peristaltic continuity of the afferent loop reduces retention syndrome, reflux of bile and other complications. This operation, including gastro-jejunostomy, side-to-side anastomosis of the jejunum （Braung anastomosis） and blocking of the afferent loop without cutting it, can be done under a laparoscope. Postoperative radiography of 5 patients showed that the occurrence of retention syndrome reduced after uncut-Roux-en-Y gastrojejunostomy.