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进展期胃下部癌占我国胃癌的主要部分,远端胃大部切除是主要的外科治疗方法之一。消化道重建方式是影响远端胃大部切除术后生存质量的重要因素。传统的重建方式为Billroth Ⅰ式或Billroth Ⅱ式。从保留十二指肠通路或抗胆汁反流角度,重建方式进行了多种改良,包括BillrothⅡ式+Braun吻合、Roux-en-Y吻合术、单管空肠间置、空肠贮袋间置、双通道重建。目前研究结果认为,Roux-en-Y吻合术是改善生存质量、可行性与可推广性均较理想的方式。
Advanced gastric cancer accounts for the main part of gastric cancer in our country, distal gastrectomy is one of the main surgical treatment. Digestive tract reconstruction is an important factor affecting the quality of life after distal gastrectomy. The traditional reconstruction method is Billroth Ⅰ or Billroth Ⅱ. From the preservation of duodenal access or anti-bile reflux point of view, a variety of reconstruction methods were modified, including Billroth Ⅱ type + Braun anastomosis, Roux-en-Y anastomosis, single-tube jejunal interposition, Channel reconstruction. The current study concluded that Roux-en-Y anastomosis is to improve the quality of life, feasibility and feasibility are more ideal way.