Abstract:

Rational surgical reconstruction of digestive tract for recurrent gastric cancer        LIANG Han. Department of Gastrointestinal Oncological Surgery, Tianjin Cancer Hospital, Tianjin Medical University; National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy of Tianjin, Tianjin 300060, China
Abstract    Reoperation can improve survival for patients with recurrent gastric cancer. A total of 50% of all recurrent gastric cancer can be radical resected. Total gastrectomy is usually performed in recurrent gastric cancer and gastric stump cancer cases and Roux-en-Y (RY) reconstruction is the most common procedure. RY plus jejunal pouch is one of spare options for reconstruction. More clinical benefit can be obtained by small pouch (7-15cm). Indication for jejunal interposition is no recurrent gastric stump cancer located in anastomosis which can be R0 resected after Billroth I reconstruction. The rational reconstruction will be made according to the individual patient’s condition. 

Key words: gastric cancer, recurrence, reconstruction of digestive tract

摘要：

复发性胃癌采取手术治疗可以显著提高病人的存活率。残胃复发癌的根治性切除率可以达到50%。复发性胃癌或残胃癌手术多采取全残胃切除术，全残胃切除术后最常用的消化道重建是Roux-en-Y（RY）术式。RY+空肠贮袋也是备选方法之一，小贮袋（7～15 cm）具有更明显的临床优势。间置空肠作为全残胃切除消化道重建的推荐术式仅适用于Billroth I式重建后，且残胃复发于非吻合口残胃并获得R0切除的病例。应该根据病人的具体情况合理选择重建术式。

关键词: 胃癌, 复发, 消化道重建