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目的 探讨残胃癌手术切除消化道重建的方法。方法 总结 1989年 8月至今 ,对 12例残胃癌行残胃全切除 ,空肠“9”字袢代胃术的治疗经验。结果 术后近期恢复良好。本组无的手术死亡 ,无倾倒综合征 ,无返流性食管炎。钡剂在“9”字环内有循环 ,下方重建幽门处有钡剂停留。术后近期恢复良好。全组均随访 ,随访时间最长 4年 3个月 ,最短 4个月 ,其中 1年内死亡 2例 ,1～ 2年死亡 4例 ,2～ 3年死亡 2例 ,另 4例生活质量较高。结论 本术式术后并发症少 ,患者生活质量较高
Objective To explore the method of resection of digestive tract with surgical resection of residual gastric cancer. Methods From August 1989 till now, 12 patients with residual gastric cancer underwent total resection of residual gas and jejunum “9” decompensated gastric surgery. Results The recent recovery was good. There were no operative deaths in this group, no dumping syndrome, and no reflux esophagitis. The elixirs circulate in the “9” ring, and the pylorus at the bottom of the pylorus remains. Postoperative recovery in the near future. All groups were followed up for up to 4 years and 3 months. The shortest period was 4 months. Among them, 2 died within 1 year, 4 died within 1 to 2 years, 2 died during 2 to 3 years, and the other 4 patients had higher quality of life. . Conclusion This surgical procedure has fewer postoperative complications and the patient’s quality of life is higher