腹腔镜uncutRoux-en-Y吻合与传统吻合方式的研究进展-医学信息.PDF

医学信息2018 年11 月第31 卷第22 期 Medical Information Nov. 2018 Vol. 31 No.22 综述 腔镜uncut Roux-en-Y 吻合与传统吻合方式的研究进展 1 2 跃韩 许庆文 渊1.广东医科大学 广东 湛江 524000 曰 2.广东医科大学附属医院 广东 湛江 524000冤 摘 要 随着胃癌患者术后5 年生存率的提高 患者对获得更好的术后生活质量的要求也不断提高 这与手术中消化道重建的 方式有关 目前腹腔镜手术的应用已被多数普外科医生接受 但消化道重建的选择方式尚未统一遥 传统的3 种吻合方式各有其 优缺点 但共同弊端是会影响患者术后的生存质量遥Uncut Roux-en-Y 吻合术能够阻断肠道消化液返流 同时保持完整的肠道 电生理 患者术后并发症少 将可能成为最理想的消化道重建方式遥现就腹腔镜uncut Roux-en-Y 吻合与传统吻合方式对胃癌 患者术后生活质量的 响进行综述 分析各种吻合方式的优缺点遥 关键词 腹腔镜曰胃癌曰Uncut roux-en-Y 吻合曰消化道重建 中图分类号 R735.2 文献标识码 A DOI 10.3969/j. ssn.1006-1959.2018.22.010 文章编号 1006-1959渊2018冤22-0031-04 Research Progress of Laparoscopic uncut Roux-en-Y Anastomosis and Traditional Anastomosis LIN Yue-han1,XU Qing-wen2 (1.Guangdong Medical University,Zhanj iang 524000,Guangdong,China; 2. Affiliated Hospital of Guangdong Medical University,Zhanji ang 524000,Guangdong,China) Abstract With the improvement of 5-year survival rate in patients with gastric carcinoma, the demand for better postoperative quality of life is also increasing, which is related to the way of digestive tract reconstruction during operation.At present,the application of laparoscopic surgery has been accepted by most general surgeons, but the choice of digestive tract reconstruction is not uniform.The traditional three anastomosis methods have their own advantages and disadvantages, but the common disadvantage is that the quality of life after operation will be affected.Uncut Roux -en -Y anastomosis can block digestive fluid regurgitation and maintain complete intestinal electrophysiology, which may be the mos