论文部分内容阅读
自１９９０年１月至１９９５年１月．作者为３１例胃体或累及胃体部的胃恶性肿瘤施行了根治性全胃切除，管状消化道吻合器食管－间置“０”环空肠（代胃）－十二指肠吻合消化道重建术。体会是：对胃体或侵及胃体部的癌，全胃切除术是有价值的。利用国产管状消化道吻合器行间置“０”环空肠代胃术具有以下优点：①重建的消化通路符合生理，食物正常通过十二指肠而具有较好的消化吸收功能；③代胃袋够大，能满足食物的贮存作用，避免了食糜排空过快；③避免了碱性的十二指肠液向食管返流；④在使用吻合器的情况下，手术简捷易行。为全胃切除消化道重建的理想术式。
From January 1990 to January 1995. The authors performed radical total gastrectomy for 31 cases of gastric malignancies with gastric or gastric body involvement. Tubular digestive tract anastomosis esophageal-interstitial ‘0’ circular jejunal (substitution stomach)-duodenal anastomosis digestive tract reconstruction Surgery. The experience is: Total gastrectomy is valuable for the stomach body or cancer that invades the stomach body. The use of domestic tubular gastrointestinal stapler interline “0” Circumclavum on behalf of the stomach has the following advantages: 1 reconstructed digestive pathway in line with physiology, normal food through the duodenum and has a good digestion and absorption function; 3 generation stomach bags enough Large, to meet the storage of food, to avoid the emptying of the chyme too quickly; 3 to avoid the flow of alkaline duodenal reflux to the esophagus; 4 in the case of anastomosis, the operation is simple and easy. Ideal surgical technique for total gastrectomy for digestive tract reconstruction.