Total gastrectomy for gastric cancer of the digestive tract reconstruction of the different forms of the recent evaluation

Objective To appraise the clinical effects of different reconstructive modes of alimentary canal for total gastrectomy.Methods Two hundred and eighty-eight cases of stomach malignant tumor patients who have taken entire stomach excision in my courtyard from January 2001 to January 2006 were undertook Orr-type Roux-en-Y reconstruction,P-type Roux-en-Y reconstruction and the Moynihan-type anastomosis was carried on the digestive tract reconstruction.The surgery time,surgery leaves,volume of blood,surgery complication,surgery mortality rate,technique latter part digestive tract symptom and the nutritive index carried on the compare were observed during the three surgery method.Results The P-type Roux-en-Y reconstruction surgery time was different from others,and the difference existed a statistically significantion(P0.05).After six months,the incidence of abdomen distension and dumping syndrome of Orr-type Roux-en-Y anastomosis was higher than P-type Roux-en-Y reconstruction and Moynihan-type anastomosis(P0.05).The incidence of reflux esophagitis of Moynihan-type anastomosis is higher than that of the other two methods(P0.01).The reconstruction weight and nutrition indicators of P-type Roux-en-Y was better than Orr-type Roux-en-Y reconstruction and Moynihan-type anastomosis.Conclusion P-type Roux-en-Y reconstruction can be recommended as an adoptale method of digestive reconstruction after total gastrectomy for gastric cancer.