黄 灵,王新保,余齐鸣.连续顺蠕动空肠间置在近端胃切除消化道重建中的应用[J].肿瘤学杂志,2015,21(5):401-404.
连续顺蠕动空肠间置在近端胃切除消化道重建中的应用
Application of Continuous Iso-peristaltic Anastomosis with Jejunal Interposition in Digestive Tract Reconstruction After Proximal Gastrectomy
投稿时间:2015-01-22  
DOI:10.11735/j.issn.1671-170X.2015.05.B011
中文关键词:  胃切除术  吻合术,外科  消化道重建
英文关键词:gastrectomy  anastomosis,surgery  digestive tract reconstruction
基金项目:浙江省医药卫生科技计划项目(2009A029)
作者单位
黄 灵 浙江省肿瘤医院 
王新保 浙江省肿瘤医院 
余齐鸣 浙江省肿瘤医院 
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中文摘要:
      摘 要:[目的] 探讨连续顺蠕动空肠间置在近端胃切除术后消化道重建中的价值。[方法]对22例患者进行近端胃切除、连续顺蠕动空肠间置吻合消化道重建,术后随访至6个月。[结果] 所有患者均顺利完成连续顺蠕动空肠间置重建,术后病理切缘阴性,术后近期未出现出血、吻合口瘘等吻合直接相关并发症,但存在1例吻合口狭窄伴胸腹腔积液,1例胃瘫,经对症处理后好转。远期随访仅1例患者因结扎线脱落导致较严重的反流性食管炎,1例患者因肿瘤进展出现肠梗阻,其余患者均饮食良好,体重恢复,胃肠造影、胃镜等基本正常。[结论] 连续顺蠕动间置空肠吻合简便、牢靠,近期、远期并发症少,有利于生活质量恢复,具有在临床推广的价值。
英文摘要:
      Abstract:[Purpose] To investigate the value of continuous iso-peristaltic anastomosis with jejunal interposition in digestive tract reconstruction after proximal gastrectomy.[Methods] Twenty-two cases undergoing continuous iso-peristaltic anastomosis with jejunal interposition in digestive tract reconstruction after proximal gastrectomy were followed up for 6 months after surgery. [Results] All patients successfully completed continuous iso-peristaltic digestive tract reconstruction with jejunal interposition,with pathological negative margins,without early postoperative complications related to anastomosis,such as bleeding or anastomotic leakage. But 1 case presented anastomotic stenosis and abdominal effusion; 1 case,gastroplegia;both of them recovered after symptomatic treatment. In long-term follow-up,1 case presented severe reflux esophagitis due to loose ligature; 1 case,intestinal obstruction due to tumor progression,while the remaining patients were having well diet and appetite,regaining weight recovered,and normal in gastrointestinal imaging and endoscopy examination.[Conclusion] Continuous iso-peristaltic anastomosis with jejunal interposition in digestive tract reconstruction is simple,reliable,with less early or late complications. It does make for recovery of quality of life,with the value of clinical promotion.
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