Objective To evaluate the clinical application of modified Orr Roux-en-Y type digestive tract reconstruction. Methods Thirty-eight patients with gastric cancer were randomly classified into modified group (accepted modified Orr Roux-en-Y type digestive tract reconstruction, 18 cases) and ρ group (accepted ρ type esophagojejunostomy, 20 cases) according to the date of operation. Operative time, blood loss in operation, complications after operation, emptying time of pouch, and change of body weight before and 3 months after operation were compared between two groups. Results Compared with the ρ group 〔(283±35) min〕, the operative time of modified group 〔(229±18) min〕 was significantly shorter (P lt;0.05). The holo-empyting time of pouch in modified group 〔(35.7±4.9) min〕 was longer than that in ρ group 〔(3.0±0.5) min〕, P lt;0.01. Blood loss in operation, complications after operation, and the body weight change had no statistical difference between two groups (P gt;0.05). Conclusion Modified Orr Roux-en-Y type reconstruction with a pouch function is useful in clinical application, which is not only easy to operate, but also can reduce the operative time and the complications.
Citation: SUN Libo,LI Yongchao,FENG Ye,SHU Zhenbo,DING Dayong,JIN Yinzhi,ZHAO Jisheng,ZHENG Zelin. Clinical Study of Modified Orr Roux-en-Y Type Digestive Tract Reconstruction after Total Gastrectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(12): 917-919. doi: Copy