胃切除术后消化道重建方式的选择

Selection of the digestive tract reconstruction after gastrectomy

胃癌外科手术保证根治性的治愈性切除至关重要。同时，选择具有良好代偿或替代胃功能的消化道重建也是影响患者预后和生命质量的重要环节。胃切除术后消化道重建方式应具备预防胃肠液反流，良好储存、排空食物功能，食物经生理通路，术后内镜下可行胆道、胰腺、残胃检查的基本功能。此外，术者的知识技术水准，安全、低侵袭，吻合缝合技术也是不容忽视的。繁杂的}肖化道重建方式易引发各种并发症，研究阶段的方法应慎选。

Radical operation is very essential for gas- tric cancer, and the reasonable digestive tract reconstruction is an important part affecting the prognosis and quality of life of patients. After gastrectomy, the most basic requirements for reconstruction include prevention of gastrointestinal fluid reflux, keeping food storage and emptying function, physiological path- ways and endoscopic inspection of biliary tract, pancreas and gastric remnant. In addition, technical level of reconstruction, safe operation, low invasion and suture technique cannot be ignored. Since complex digestive tract reconstruction can cause many complications, the method in the research stage should be carefully chosen.