Total Gastrectomy For Gastric Cancer Of The Digestive Tract Reconstruction Of The Different Forms Of The Recent Evaluation

Objective: After discussion stomach cancer entire stomach excision method, different form digestive tract reconstruction technique-like short-term curative effect appraisal. Method: To my courtyard January, 2001 from after January, 2006 288 example stomach malignant tumor patient entire stomach excision method uses Orr the type Roux-en-Y jejunum esophagus anastomosis, P shape jejunum pan jejunum esophagus Roux-en-Y to tally separately with the Moynihan type anastomosis carries on the digestive tract reconstruction way. Divides into 3 groups according to the surgery way, to its surgery time, the surgery leaves the volume of blood, the surgery complication, the surgery mortality rate, the technique latter part digestive tract symptom and the nutritive index carries on the paired observation. Results: 3 technique's-like patient surgeries leave the volume of blood, the surgery complication, the surgery mortality rate comparison, even P >0.05, difference non-statistics significance. The P shape tallies group's surgery time to compare with other two groups, P <0.05, a statistically significant difference. Orr-six months after Roux-en-Y anastomosis group epigastric Baozhang dumping syndrome and the incidence of higher than P-esophageal jejunal loop jejunal Roux-en-Y anastomosis group and Moynihan-anastomosis group (P <0.05 ) Moynihan-anastomosis group reflux esophagitis was higher than that of the incidence of the other two groups (P <0.01), P-esophageal jejunal loop jejunal Roux-en-Y anastomosis group weight and nutrition indicators better than Orr-Roux - en-Y anastomosis and Moynihan-anastomosis group. Conclusion: P-esophageal jejunal loop jejunal Roux-en-Y gastric cancer is the entire anastomosis after resection of gastric digestive tract reconstruction ideal surgery.