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目的:探讨腹腔镜进展期胃癌根治术行单通道间置空肠代胃术的临床疗效。方法:回顾2011年1月—2013年6月收治的21例进展期胃癌患者资料,患者均行全胃切除术,消化道重建采用单通道间置空肠代胃,主要观察指标为术后并发症、术后营养状况、消化道症状等。结果:21例患者手术顺利,均痊愈出院。术后未出现吻合口瘘、倾倒综合征、反流性食管炎等并发症。术后6个月复查胃镜及上消化道钡餐造影提示各吻合口黏膜光滑、通畅。患者营养良好,生活质量满意。结论:腹腔镜进展期胃癌根治术行单通道间置空肠代胃术在改善患者术后消化道症状和生活质量等方面是比较理想的重建术式。
Objective: To investigate the clinical efficacy of laparoscopic radical gastrectomy for single-channel interstitial jejunal replacement. Methods: The data of 21 patients with advanced gastric cancer admitted in our hospital from January 2011 to June 2013 were retrospectively analyzed. Total gastrectomy was performed in the patients. Gastrointestinal reconstruction was performed on the single passage between the intestine and the jejunum. The main observation indicators were postoperative complications , Postoperative nutritional status, gastrointestinal symptoms. Results: Twenty-one patients were successfully surgically discharged. No postoperative anastomotic leakage, dumping syndrome, reflux esophagitis and other complications. Gastroscopy and upper gastrointestinal barium meal examination at 6 months after operation suggested that the anastomotic mucosa was smooth and smooth. Patients with good nutrition, quality of life satisfaction. Conclusions: Laparoscopic radical gastrectomy is an ideal method of reconstructive surgery for improving postoperative gastrointestinal symptoms and quality of life in patients undergoing radical gastrectomy.