Prete F, Montemurro S, Rucci A, Rinaldi S, Liguori P
III Cattedra di Patologia Speciale Chirurgica e Propedeutica Clinica, Università degli Studi di Bari.
G Chir. 1992 Apr;13(4):204-7.
The Authors report their initial experience with the construction of a J-pouch as restorative surgery following total gastrectomy (TG) for malignant neoplasms. In the last 10 months of the 1990 upon 52 interventions for gastric cancer 31 TG were performed, and in 13 cases a J-pouch on the proximal end of the jejunal segment was constructed. No mortality or specific morbidity was registered using the totally stapled technique. Within one month 3/4 of the patients had normal meals as far as quantity and quality; also the foamy regurgitation seemed to be minimal. The ease of the reconstructive technique and the short term results obtained encourage the use of such approach.
作者报告了他们在恶性肿瘤全胃切除(TG)后构建J袋作为重建手术的初步经验。在1990年的最后10个月里,52例胃癌手术中有31例进行了全胃切除,其中13例在空肠段近端构建了J袋。采用完全吻合器技术未出现死亡或特殊并发症。1个月内,3/4的患者在进食量和质量方面恢复正常;泡沫样反流似乎也很少。重建技术的简便性和所取得的短期效果鼓励采用这种方法。