Uncut Roux-en-Y吻合在远端胃癌根治术消化道重建中的应用进展  

Progress in application of uncut Roux-en-Y gastrojejunostomy after distal gastrectomy for gastric cancer

作　　者：邹振玉[1] 杜晓辉[1] 李荣[1] 

机构地区：[1]解放军总医院普通外科,北京100853

出　　处：《临床外科杂志》2016年第3期237-239,共3页Journal of Clinical Surgery

基　　金：国家自然科学基金资助项目(61170123);海南省自然科学基金资助项目(813226)

摘　　要：远端胃癌根治术后消化道重建方式是直接影响患者近远期生活质量的重要因素之一。Uncut Roux-en-Y吻合减少了术后胆汁和胰液通过残胃,保留了肠管的连续性和正常肌电传导,有效预防了反流性食管炎、反流性胃炎,尤其是Roux潴留综合征(Roux-en-Y stasis syndrome,RSS)的发生,是胃癌根治术后理想的消化道重建术式。本文将从方法原理、技术优势、临床应用等多个方面介绍Uncut Roux-en-Y吻合技术的发展。For patients with gastric cancer, digestive tract reconstruction after distal gastrectomy is one of the important factors that directly affect the short-and long-term quality of life. Uncut Roux-en-Y gastrojejunostomy, which is considered as the ideal reconstructive procedure, may lessen the bile and pan- creatic juice into thegastric remnant, maintain the integrity of the intestinal canal and normal conduction of the myenteric impulses,andprevent reflux esophagitis and gastritis, especially Roux stasis syndrome. This article will introduce the development of uncut Roux-en-Y gastrojejunostomy from the aspects of principle, technical advantages, and clinical application.

关 键 词：胃肿瘤 胃切除术 吻合术 Roux—en—Y 

分 类 号：R735.2[医药卫生—肿瘤]