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目的 探讨胃癌全胃切除术后合理的消化道重建方式 ,提高病人生存质量。方法 10 8例胃癌病人经腹全胃切除后 ,食管 空肠行P形吻合 ,空肠 空肠行Roux Y吻合 ,术后加强营养支持治疗。结果 本组无手术死亡病例 ,无食管空肠吻合口瘘等严重并发症发生 ,与经胸腹术相比 ,具有创伤小 ,恢复快 ,并发症少等特点。结论 经腹胃癌全胃切除P形空肠代胃术是一种安全、实用、疗效满意的手术方法 ,术后加强营养支持治疗 ,有益于病人顺利康复。
Objective To investigate the reasonable method of digestive tract reconstruction after total gastrectomy for gastric cancer to improve the quality of life of patients. Methods 1080 cases of gastric cancer patients undergone total gastrectomy, esophagus jejunum line P anastomosis, Roux Y jejunum jejunum anastomosis, postoperative nutritional support and treatment. Results There were no surgical deaths, esophageal jejunostomy fistula and other serious complications in this group. Compared with thoracoabdominal surgery, this group had the characteristics of less trauma, faster recovery and less complications. Conclusion Gastroscopic resection of pneumoperitoneum with P-type jejunal surgery is a safe, practical and satisfactory surgical method. Postoperative nutrition supportive therapy is beneficial to the successful recovery of patients.