Current Opinions for Reconstruction of Alimentary Tract after Total Gastrectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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曾玉剑 , 程中 , 周总光

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Keywords：

全胃切除; 　消化道重建

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世界首例成功的全胃切除及消化道重建术（结肠前食管空肠端侧吻合术）1897年由德国人Schlatter完成；随后Briigham对重建的术式做出了最早的探索，这一食管十二指肠吻合术也是最早的保留十二指肠食物通道功能的术式（Billroth Ⅰ）； 1903年Moynihan提出应加行空肠输入-输出袢之间的侧侧吻合（Braun吻合）； 1947年Orr提出的Roux-en-Y术式是最经典的不保留十二指肠食物通道功能的术式，以它为基础的术式（Billroth Ⅱ）在全胃切除术后的消化道重建中占有主要地位［1］。......

Citation： 曾玉剑,程中,周总光. Current Opinions for Reconstruction of Alimentary Tract after Total Gastrectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(5): 383-384. doi: Copy

1.	Chin AC, Espat NJ. Total gastrectomy: options for the restoration of gastrointestinal continuity [Ｊ]. Lancet Oncol, 2003; 4(5)∶271.
2.	尹浩然. 从术式演变谈全胃切除术后消化道重建的原则 [Ｊ]. 中华胃肠外科杂志， 2004; 7(1)∶12.
3.	秦新裕, 刘凤林. 全胃切除术后消化道重建术式的现状和评估 [Ｊ]. 中华胃肠外科杂志， 2004； 7(1)∶10.
4.	陈志新，胡建昆，程中，等. 全胃切除手法改良空肠ρ袢代胃术的临床应用 [Ｊ]. 中华胃肠外科杂志， 2003; 6(2)∶93.
5.	Thomas H, Heimbucher J, Fuchs KH, et al. The mode of Roux-en-Y reconstruction affects motility in the efferent limb [Ｊ]. Arch Surg, 1996; 131(1)∶63.
6.	Nakane Y, Akehira K, Okumura S, et al. Emptying of the jejunal pouch as a gastric substitute after total gastrectomy for cancer [Ｊ]. Hepatogastroenterology, 1997; 44(15)∶901.
7.	秦新裕, 雷勇. 全胃切除术后两种不同消化道重建法对胃肠动力影响的比较 [Ｊ]. 消化外科, 2002; 1(2)∶ 87.
8.	郝希山，李强，尹健. 全胃切除术后不同代胃术式的评价[Ｊ]. 外科理论与实践， 2003; 8(1)∶34.
9.	Hoksch B, Ablassmaier B, Zieren J, et al. Quality of life after gastrectomy: Longmire’s reconstruction alone compared with additional pouch reconstruction [Ｊ]. World J Surg, 2002; 26(3)∶335.
10.	Fuchs KH, Thiede A, Engemann R, et al. Reconstruction of the food passage after total gastrectomy: randomized trial [Ｊ]. World J Surg, 1995; 19(5)∶698.
11.	de Almeida AC, dos Santos NM, Aldeia FJ. Total gastrectomy for cancer: is reconstruction or a gastric replacement reservoir essential? [Ｊ]. World J Surg, 1994; 18(6)∶883.
12.	蔡成机. 对全胃切除术后选择消化道重建术式的思考 [Ｊ]. 中华胃肠外科杂志， 2004; 7(1)∶5.
13.	Heimbucher J, Fuchs KH, Freys SM, et al. Motility in the Hunt-Lawrence pouch after total gastrectomy [Ｊ]. Am J Surg, 1994; 168(6)∶625.
14.	詹文华. 循证外科解决全胃切除后消化道重建之纷争 [Ｊ]. 中国普外基础与临床杂志, 2004; 11（2）∶100.
15.	朱正纲. 全胃切除与消化道重建术在胃癌治疗中的临床意义 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(1)∶15.

1. Chin AC, Espat NJ. Total gastrectomy: options for the restoration of gastrointestinal continuity [Ｊ]. Lancet Oncol, 2003; 4(5)∶271.
2. 尹浩然. 从术式演变谈全胃切除术后消化道重建的原则 [Ｊ]. 中华胃肠外科杂志， 2004; 7(1)∶12.
3. 秦新裕, 刘凤林. 全胃切除术后消化道重建术式的现状和评估 [Ｊ]. 中华胃肠外科杂志， 2004； 7(1)∶10.
4. 陈志新，胡建昆，程中，等. 全胃切除手法改良空肠ρ袢代胃术的临床应用 [Ｊ]. 中华胃肠外科杂志， 2003; 6(2)∶93.
5. Thomas H, Heimbucher J, Fuchs KH, et al. The mode of Roux-en-Y reconstruction affects motility in the efferent limb [Ｊ]. Arch Surg, 1996; 131(1)∶63.
6. Nakane Y, Akehira K, Okumura S, et al. Emptying of the jejunal pouch as a gastric substitute after total gastrectomy for cancer [Ｊ]. Hepatogastroenterology, 1997; 44(15)∶901.
7. 秦新裕, 雷勇. 全胃切除术后两种不同消化道重建法对胃肠动力影响的比较 [Ｊ]. 消化外科, 2002; 1(2)∶ 87.
8. 郝希山，李强，尹健. 全胃切除术后不同代胃术式的评价[Ｊ]. 外科理论与实践， 2003; 8(1)∶34.
9. Hoksch B, Ablassmaier B, Zieren J, et al. Quality of life after gastrectomy: Longmire’s reconstruction alone compared with additional pouch reconstruction [Ｊ]. World J Surg, 2002; 26(3)∶335.
10. Fuchs KH, Thiede A, Engemann R, et al. Reconstruction of the food passage after total gastrectomy: randomized trial [Ｊ]. World J Surg, 1995; 19(5)∶698.
11. de Almeida AC, dos Santos NM, Aldeia FJ. Total gastrectomy for cancer: is reconstruction or a gastric replacement reservoir essential? [Ｊ]. World J Surg, 1994; 18(6)∶883.
12. 蔡成机. 对全胃切除术后选择消化道重建术式的思考 [Ｊ]. 中华胃肠外科杂志， 2004; 7(1)∶5.
13. Heimbucher J, Fuchs KH, Freys SM, et al. Motility in the Hunt-Lawrence pouch after total gastrectomy [Ｊ]. Am J Surg, 1994; 168(6)∶625.
14. 詹文华. 循证外科解决全胃切除后消化道重建之纷争 [Ｊ]. 中国普外基础与临床杂志, 2004; 11（2）∶100.
15. 朱正纲. 全胃切除与消化道重建术在胃癌治疗中的临床意义 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(1)∶15.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Current Opinions for Reconstruction of Alimentary Tract after Total Gastrectomy

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