全胃切除间置空肠变法空肠代胃术20例报告  

Innovated Jejunum Interposition Substituting Stomach Following Total Gastrectomy.A Rerort of 20 Cases

作　　者：何喜林[1] 曹高武[1] 罗显峰[1] 

机构地区：[1]辽宁省肿瘤医院外科

出　　处：《中国肿瘤临床》1995年第3期175-176,共2页Chinese Journal of Clinical Oncology

摘　　要：报告全胃切除间置空肠变法空肠代胃术２０例。方法：全胃切除并淋巴结扩清后，距屈氏韧带８０ｃｍ切断空肠及其系膜，肛侧端闭锁，于１５ｃｍ行空肠侧侧吻合，于３５ｃｍ用粗丝线结扎肠管并于结扎线上下各１ｃｍ缝合浆肌层一周形成中隔，于４０ｃｍ行食管空肠端侧吻合。空肠口侧与十二指肠端端吻合。优点：１）食物通过十二指肠符合生理。２）有效地防止返流性食管炎。３）如发生吻合瘘则有利于瘘的愈合。A new method to substitute stomach with modified interposition with jejunum following total gastrectomy is reported.The advantages of this operation consist in:1.Food stuffs pass through duodenum blending well with bile and duodenopancereatic digestive Juice which in turn facilitate absorption of nutrient elements,iron and vitamin B12. 2.Prevent reflux oesophagitis from occurrence.3.Better ensurence of blood supply and easy to perform.

关 键 词：贲门癌 胃切除 消化道 重建术 食管炎 胃肿瘤 

分 类 号：R735.205[医药卫生—肿瘤] R656.61[医药卫生—临床医学]