演題抄録

International Session(Poster)

開催概要
開催回
第51回・2013年・京都
 

3S-type jejunal interposition surgery on patients with advanced gastric cancer

演題番号 : ISP-12

[筆頭演者]
Yantong Yang:1 

1:Department of Gastrointestinal Oncology Surgery, The First Affiliated Hospital, Henan University of Science and Technology, China

 

OBJECTIVE: To evaluate the safety and efficacy of 3S-type digestive reconstruction after total gastrectomy for advanced gastric cancer. METHODS: From January 2003 to December 2009, 213 cases underwent total gastrectomy in The First Affiliated Hospital of Henan University of Science and Technology were included in the study. Of all patients, 109 were randomized into the 3S-type jejunal interposition surgery group, and 103 were randomized into the P-loops Roux-en-Y esophagojejunostomy group. The follow-up was executed in the first 3 months and every 6 months until 5 years. To evaluate the efficacy of the two types of digestive reconstruction by comparing the follow-up data including operative complications, clinical symptoms, nutrition index and the quality of life. RESULTS: Two types of digestive reconstruction had no statistical differences in operative time, postoperative complications and mortality(P>0.05). Compared with P-loops Roux-en-Y esophagojejunostomy at 6,12,18,24 months after operation, 3S-type jejunal interposition surgery had a lower incidence in dumping syndrome(p<0.05), reflux esophagitis (diagnosed by endoscopy, p<0.05), Heartburn symptoms(p<0.05). 3S-type jejunal interposition surgery was obvious superior to P-loops Roux-en-Y esophagojejunostomy in Food intake(P<0.001), and nutritional assessment index( P<0.001). CONCLUSION: 3S-type jejunal interposition surgery has superiority in reducing complications and in improving the quality of life.

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