Gastric Jejunum-Pouch Side-End Anastomosis : 66 Case Reports
Abstract: Objectives: To introduce a simple new operation of gastrojejunostomy, gastric jejunum-pouch side-end anastomosis was to be reported. Method: Gastric jejunum-pouch side-end anastomosis, which was designed by the gastrointestinal ward of the Chengdu Army General Hospital, was jejunal pouch with the stomach wall anastomosis, such as Billroth II gastrojejunostomy. The clinical data of 66 cases of gastric jejunum-pouch anastomosis were analyzed retrospectively from March 2012 to February 2014. Among them, 51 cases are hand assisted laparoscopic D2 radical distal gastrectmy; 8 cases on small and medium-sized probe incision and gastric jejunum-pouch anastomosis, plus the little side vascular nerve ligation amputation; 7 cases on laparoscopic highly selective vagus nerve cut plus distal gastrectomy. Results: Incision length 6.5 - 8 cm (7.1 cm on average), operation time 70 - 205 min (mean 165.6 min), intraoperative blood loss 50 - 300 ml (174.5 ml), anal exhaust time 2 - 5 days (mean 3.7 days), postoperative diet recovery time 3 - 7 days (mean 4.6 days), postoperative hospital stay 6 - 13 days (mean 8.3 days). Abdominal vascular hemorrhage after 2 h in 1 case was cured by surgical hemostasis. In all 66 cases, there was no gastric parplysis, and no perioperative death. During 1 - 12 months after operation, no reflux and reflux esophageal inflammation shape were complained of by patients, but the light anastomotic inflammation in 3 cases and gastric bile reflux significantly in 2 cases were checked out by gastroscope review. Conclusions: Gastric jejunum-pouch side-end anastomosis was a simple and safe operation; and the clinical effect to prevent reflux gastritis was good. Jejunum-pouch to be of the function of storage and collection of the digestive juice, such as bile and ect., might be beneficial to patients for early postoperative recovery.
文章引用: 曹永宽 , 干 伟 , 周 均 , 龚加庆 , 王培红 , 张国虎 , 黄 岭 , 罗国德 , 宋亚宁 (2014) 胃空肠储袋侧-端吻合术(附66例报告)。 外科， 3， 64-67. doi: 10.12677/HJS.2014.34012
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