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ANN SURG：远端胃癌根治性切除后Roux-en-Y与BⅡ重建对比

2018-01-11 MedSci MedSci原创

远端胃癌Roux-en-YBⅡ
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外科手术是胃癌的主要治疗方式。远端胃癌术后的重建方式选择一直存在争议。目前R-Y和BⅡ都是常见的重建方式。ANN SURG近期发表了一篇文章，比较远端胃癌BⅡ和R-Y重建之间的临床症状区别。

外科手术是胃癌的主要治疗方式。远端胃癌术后的重建方式选择一直存在争议。目前R-Y和BⅡ都是常见的重建方式。ANN SURG近期发表了一篇文章，比较远端胃癌BⅡ和R-Y重建之间的临床症状区别。

该研究为前瞻性RCT研究。2008年10月到2014年10月之间，共162例接受远端胃切除的患者纳入研究。患者随机分为BⅡ组（n=81）和R-Y组（n=81）。主要的研究终点为术后1年胃肠道症状评分。作者还比较了营养状态，内镜下胃癌严重程度，术后1年生活质量等。研究结果表明，BⅡ组手术时间显着短于R-Y组。BⅡ和R-Y组围手术期并发症发生率分别为28.4%和33.8%，30天死亡率分别为2.5%和1.2%。两组间胃肠道症状评分并无显着差别。与BⅡ组相比，R-Y组内镜下胃癌程度更轻。两组间营养状况和1年生活质量并无区别。

文章最后认为，尽管BⅡ式吻合与更高的烧心症状发生率和更严重的内镜下胃炎有关，但BⅡ式吻合和RY吻合在胃肠道症状评分和术后1年营养状况方面并无区别。

原始出处：
So Jimmy Bok-Yan,Rao Jaideepraj,et al.Roux-en-Y or Billroth ⅡReconstruction After Radical Distal Gastrectomy for Gastric Cancer: A Multicenter Randomized Controlled Trial.ANN SURG.February 2018 doi:10.1097/SLA.0000000000002229

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    2018-01-26 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=282112, encodeId=4d3428211226, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Fri Jan 26 06:48:37 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280868, encodeId=8257280868cf, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 22 06:56:53 CST 2018, time=2018-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=278599, encodeId=67eb2e85995b, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 15 06:55:36 CST 2018, time=2018-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1586088, encodeId=e508158608823, content=<a href='/topic/show?id=38f8622191b' target=_blank style='color:#2F92EE;'>#根治#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62219, encryptionId=38f8622191b, topicName=根治)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26d917348678, createdName=jeanqiuqiu, createdTime=Sat Jan 13 00:05:00 CST 2018, time=2018-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277502, encodeId=dd332e7502c1, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Thu Jan 11 10:04:32 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-01-22 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

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    2018-01-15 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

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    2018-01-13 jeanqiuqiu

    #根治#

    0

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    2018-01-11 明月清辉

    谢谢分享.学习了

    0