Comparison of the effect between two methods of digestive tract reconstruction after gastrectomy

( views:332, downloads:0 )
Author:
BI Wei-min(Department of General Surgery, the Central Hospital of Taian , Taian , Shandong 271000, China)
Journal Title:
Chinese Journal of Primary Medicine and Pharmacy
Issue:
Volume 19, Issue 20, 2012
DOI:
10.3760/cma.j.issn.1008-6706.2012.20.006
Key Word:
Improved generation of loop-type jejunum stomach surgery ;P-type jejunum behalf of the stomach surgery; Gastrectomy

Abstract: Objective To compare the advantages,disadvantages and clinical value of the improved loop the jejunum behalf of the stomach surgery and the P - type jejunum on behalf of stomach surgery.Methods 56 patients with gastric cancer were divided into two groups by different ways of gastrectomy alimentary tract after gartrectomy.Patients in observation group( n =35 ) were given the modified loop jejunum on behalf of gastric surgery and patients in control group( n =31 ) received P-type jejunum on behalf of the stomach surgery.The clinical effects were compared between two groups.Results There were no significant differences in surgical time and bleeding volume in 2 groups ( P > 0.05 ).Emptying time [(61 ± 3 ) min] of observation group was longer than that of control group (37 ± 19) min]( t =3.03,P < 0.05 ) ; Each food intake [( 308 ± 44 ) ml] in observation group was significiantly improved compared with control group [(262 ± 34) ml (t =2.55,P < 0.05) ; The times of daily diet [(4.2 ± 1.2) times] in observation group was lower than that of control group [( 5.7 ± 2.3 )] ( t =2.46,P < 0.05 ).The incidence of postoperative complications( 14.3% ) of the observation group was significantly lower than the control group (42.9%) ( x2 =5.71,P < 0.05).Conclusion On the terms of 2 ways of digestive tract reconstruction,the improved loop the jejunum behalf of the stomach surgery is superior to the P-type jejunum on behalf of the stomach surgery,which can effectively improve the quality of life of patients and reduce the incidence of complications,but have no complex surgical procedures.

  • [1]孙劲松,施开德,朱际飚.改良胃空肠Roux-en-Y吻合术在胃肠手术中的应用.中国医药导报,2011,8(13):188-189.
  • [2]刘全新.全胃切除空肠P袢代胃术和近侧胃大部切除术治疗胃底贲门癌的对比.当代医学,2011,17(22):73-74.
  • [3]吴孟超,吴在德.黄家驷外科学.7版.北京:人民卫生出版社,2009:1426.
  • [4]王昌国.胃癌全胃切除P型空肠袢重建消化道的术式探讨.中国基层医药,2010,17(13):1757-1758.
  • [5]曾玉剑,程中,周总光.全胃切除术后消化道重建的现状.中国普外基础与临床杂志,2008,15(5):383-384.
  • [6]沈江,戚灴,祝俊钜,等.胃切除术后消化道重建术术式的比较.中国基层医药,2011,18(2):181-183.
  • [7]高峰,梅乐园,曹波,等.胃、空肠Roux-en-Y吻合在胰十二指肠切除术中的应用:附56例分析.中国普通外科杂志,2009,18(9):997-998.
  • [8]Chavarriaga LF,Cook MW,White B,et al.Transoral technique for gastrojejunostomy in laparoscopic Roux-en-Ygastric by pass (LRYGBP) can accelerate learning curve and reduce cost.Obes Surg,2010,20(7):846-850.
  • [9]陈开运,向国安,王汉宁,等.胃、空肠Roux-en-Y吻合在胰十二指肠切除术中的应用:附56例分析.南方医科大学学报,2010,30(6):997-998.
  • [10]肖磊.胃癌全胃切除术后消化道重建术式的比较.中国基层医药,2011,18(22):3120-3121.
  • [11]石志伟.胃癌全胃切除术后消化道重建术式的疗效对比评价.中国医药科学,2012,2(1):76-78.
  • [12]丁佩剑,杨阳,丁双剑,等.全胃切除术后的消化道重建术式的比较.中国普通外科杂志,2011,20(9):975-978.
WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn