Bandurski Roman, Gryko Mariusz, Kamocki Zbigniew, Okulczyk Bogna, Zaręba Konrad, Piotrowski Zdzisław, Kędra Bogusław
2nd Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok.
Pol Przegl Chir. 2011 Feb;83(2):70-5. doi: 10.2478/v10035-011-0011-y.
The only proven, effective therapy in case of the gastric cancers is surgery.
The most common procedure which is made in such a situation is total resection of the stomach. In our publication we would like to present and to recommend a very rare made type of the reconstructive procedures after total gastrectomy, which is called "double tract reconstruction" (DTR). This type of reconstruction is occasionally made mainly in Japan.Material and methods. Double tract reconstruction has been made in 2nd Department of General and Gastroenterological Surgery since 2000. Till today 75 patients were treated with this method.
The frequency of complications after double tract reconstruction was occasional, and there were no differences between this procedure and Roux-en-Y method of the reconstruction. There were no differences in the time of the operation between this two methods. The most important advantage of this method is that duodenal passage is extant. Because of that the endoscopic examination of papilla Vateri can be made.
We would like to recommend this method as an alternative to Roux-en-Y procedure because of its simplicity and safeness.
胃癌唯一经证实有效的治疗方法是手术。
在这种情况下最常见的手术是胃全切术。在我们的出版物中，我们想介绍并推荐一种全胃切除术后非常罕见的重建手术类型，即“双通道重建”（DTR）。这种重建类型偶尔进行，主要在日本。材料与方法。自2000年起，普通与胃肠外科第二科室开展了双通道重建手术。至今已有75例患者接受了这种治疗方法。
双通道重建术后并发症发生率较低，该手术与Roux-en-Y重建方法之间无差异。这两种方法的手术时间也无差异。该方法最重要的优点是十二指肠通道仍然存在。因此，可以对 Vateri乳头进行内镜检查。
由于其简单性和安全性，我们建议将这种方法作为Roux-en-Y手术的替代方法。
