Remnant stomach-jejunal dual pathways reconstruction after laparoscope-assisted radical proximal gastrectomy
- VernacularTitle:腹腔镜胃上部癌根治术残胃空肠双通道重建
- Author:
Feng QIAN
;
Bo TANG
;
Yan SHI
;
Yongliang ZHAO
;
Huaxin LUO
;
Gang SUN
;
Ao MO
;
Peiwu YU
- Publication Type:Journal Article
- Keywords:
Gastric cancer;
Laparoscope;
Reconstruction of digestive tract
- From:Chinese Journal of Digestive Surgery
2008;7(3):174-176
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of remnant stomach-jejunal dual pathways reconstruction after laparoscope-assisted radical proximal gastrectomy in the treatment of upper gastric cancer. Methods Twenty-five patients with upper gastric cancer underwent laparoscope-assisted radical proximal gastrectomy and the remnant distal stomach was preserved for side-to-side remnant stomach-jejunal anastomosis and end-to-side jejuno-jejunal anastomosis to reconstruct dual pathways. Results The mean operation time was (240±35) minutes, the mean number of lymph nodes dissected were 22±5, and all the incised margins were negative. No anastomotic leakage, obstruction or stenosis occurred. All patients received postoperative barium meal examination. A large amount of barium directly entered the jejunum, leaving a small amount of barium entered the jejunnum via the route of remnant stomach-duodenum, and was detained in the remnant stomach for 30-60 minutes. No esophageal reflux of barium was observed. All the patients were followed up for 4-18 months, no reflux esophagitis was detected and the short-term life quality was satisfactory. Conclusions Remnant stomach-jejunal dual pathways reconstruction prevents the reflux esophagitis and dumping syndrome, preserves the pathway of duodenum and promotes the life quality of patients.
