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目的探讨胃癌行全胃切除结肠代胃的临床效果。方法回顾分析32例患者的临床资料。结果本组32例无手术死亡及吻合口瘘的发生,术后1例切口感染,1例切口脂肪液化,其余病例均Ⅰ期愈合,无返流性食管炎及倾倒综合征出现,无胸骨后疼痛、烧灼感及食物、消化液返流入口等症状;平均手术时间172min,住院时间平均12d,全组均获随访,1年生存率94,2年生存率85,3年生存率72,5年生存率为49。本组患者术后均能从事轻体力劳动,术后生活质量满意。结论结肠代胃是一种简便易行、安全可靠且效果满意的手术方式。
Objective To investigate the clinical effect of total gastrectomy on stomach in gastric cancer. Methods The clinical data of 32 patients were retrospectively analyzed. Results There were no operative deaths and anastomotic fistula in 32 cases. One case had incision infection and one case had liquefied fat. All cases were healed by first intention, no reflux esophagitis and dumping syndrome occurred, Pain, burning sensation and food, digestive fluid reflux entrance and other symptoms; the average operation time 172min, hospital stay average 12d, all were followed up, 1-year survival rate 94, 2-year survival rate 85, 3-year survival rate 72,5 The annual survival rate is 49. This group of patients can engage in light manual labor, postoperative quality of life satisfaction. Conclusion The colon on behalf of the stomach is a simple, safe and reliable operation with satisfactory results.