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全胃切除术是治疗胃癌,尤其是胃体癌的一种重要的手术方式。术后消化道重建的方式多种多样,但是由于术后并发症的发生,至今对哪一种重建方式最好仍没有定论。目前对保留十二指肠食物通道连续性的必要性仍有争议;由于重建贮袋可减少并发症的发生,提高患者的生活质量。对贮袋重建的必要性基本取得了一致看法。本文对近年来全胃切除术后消化道重建方式及其手术效果进行综述。
Total gastrectomy is an important surgical treatment of gastric cancer, especially gastric cancer. Postoperative digestive tract reconstruction in a wide range of ways, but because of the occurrence of postoperative complications, so far what kind of reconstruction is best still not conclusive. The current need for continuity of duodenal food access remains controversial; the quality of life of patients can be improved by reconstructing the pouch to reduce the incidence of complications. The necessity of reconstructing the storage bags basically reached a consensus. This article summarizes the way of gastrointestinal reconstruction after gastrectomy in recent years and its effect.