胃癌的全胃切除治疗和消化道重建.pdfVIP

胃癌的全胃切除治疗与消化道重建 摘要 目的探讨胃癌全胃切除术及消化道重建合理的手术方式，以期减少并 发症，提高患者的生活质量。 方法对20例全胃切除治疗胃癌的患者进行观察，比较其5种消化道 重建方式的近期生存质量、体重及血液营养学指标。 结果全组无死亡病例。并发症发生率25％，其中与消化道重建方式有 关的特殊并发症2例，占lO‰一般并发症3例，占15％。 结论经腹切口是主要的手术途径，凡胃癌侵犯食管下段均宜采用胸腹 肠袢代胃术式是较为合理的消化道重建方式。 关键词全胃切除术，联合脏器切除，消化道重建 the Total forGastricCancerand Gastrectomy TractReconstruction Abstract To total andthesuitable of Objectivestudy gastrectomy operationstyle tractfor ordertoreduce digestivegastriccancer,in postoperative and the improveQOL(qualityoflire)ofpatients． Methods20 with cancerunderwenttotal patientsgastric and recent andserumnutritional wereobservedthe QOL，bodyweight 5differentreconstructivewere parametersamong types compared． in ResultsTherewerenodeathcasesthis group．The incidenceWas which2 wererelatedtothe 25％，of particularcomplications reconstructive tractandwas common ofdigestive 10％，3 types accountfor15％． Theabdominalincisionisthemain Conclusion operative invadedthelover of incision those to part be resectionwithsomeother intotal should adopted．Simultaneous organs shouldbe considered．TheRoux—en—Y gastrectomy cautiously mod