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食管空肠吻合口瘘、食管炎和“无胃综合征”是全胃切除术后严重的并发症。为此,作者近9年依据胃癌生物学特性和根治的要求,对61例胃癌患者应用改良全胃切除ρ型空肠代胃术。术后资料表明,几点技术改进可防止有关严重并发症的发生,使患者术后存活率达37.3%,且精神、营养状况良好,均能从事家务和恢复部分体力劳动。我们认为,该术式简便易行,提高了胃癌存活率和生存质量。
Esophagojejunal anastomotic leakage, esophagitis, and “no stomach syndrome” are serious complications after total gastrectomy. To this end, the author of the past nine years based on the biological characteristics of gastric cancer and radical requirements, 61 patients with gastric cancer using modified total gastrectomy ρ type jejunal gastrostomy. The postoperative data show that several technical improvements can prevent the occurrence of serious complications, and the postoperative survival rate of patients is 37.3%. They have good mental and nutritional status and are able to perform housework and restore some manual labor. We believe that the surgical procedure is simple and easy to improve the survival rate and quality of life of gastric cancer.