关键词: 胃癌, 胃大部切除, 消化道重建, 生存质量

Abstract:

Theory and practice of digestive tract reconstruction of distal gastrectomy for gastric cancer        HU Jian-kun, CHEN Xin-zu. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
Corresponding author: HU Jian-kun, E-mail: hujkwch@126.com
Abstract    Advanced low third gastric cancer is the majority of gastric cancer in China. Distal gastrectomy is its principle procedure of surgical treatment. The digestive tract reconstruction pattern is the important factor for postoperative quality of life after distal gastrectomy. Conventional reconstruction patterns are BillrothⅠgastroduodenostomy and BillrothⅡ gastrojejunostomy. Regarding to preserve duodenal pathway or anti-bile reflux, there are several modified reconstruction patterns including BillrothⅡgastrojejunostomy plus Braun jejunojejunostomy, Roux-en-Y gastrojejunostomy, jejunal interposition, jejunal pouch interposition and double tract reconstruction. Based on current evidences, Roux-en-Y gastrojejunostomy is preferred as the better procedure to improve postoperative quality of life, as well as of better feasibility and promotion value.

Key words: gastric cancer, gastrectomy, digestive tract reconstruction, quality of life