胃癌胃切除术后双通路重建与 Roux-en-Y 重建的比较研究
A Comparative Study of Double-Tract Reconstruction and Roux-en-Y After Gastrectomy for Gastric Cancer.
作者信息
Hong Jun, Wang Shu-Yan, Hao Han-Kun
机构信息
Department of General Surgery, Huashan Hospital.
Huashan Worldwide Medical Center, Huashan Hospital, Fudan University, Shanghai, China.
出版信息
Surg Laparosc Endosc Percutan Tech. 2019 Apr;29(2):82-89. doi: 10.1097/SLE.0000000000000639.
BACKGROUND
The meta-analysis was performed to compare surgical and functional results of double-tract (DT) and Roux-en-Y (RY) reconstruction, applied in both partial and total gastrectomy.
METHODS
PubMed, Ovid, Web of Science, Wiley, EBSCO, and the Cochrane Library Central were searched for studies comparing DT and RY after partial or total gastrectomy. Surgical, nutritional, and long-term outcomes were collected and analyzed.
RESULTS
A total of 595 patients from 8 studies were included. Operative time, time to first flatus, length of hospital stays, complications, postoperative nutritional variables, and functional result were similar between 2 groups. Group DT had significantly less blood loss, shorter time to oral intake and less loss of body weight at 2 years after operation.
CONCLUSIONS
DT reconstruction is comparable with RY after gastrectomy in safety, surgical outcomes including reflux symptom and postoperative recovery and shows better food intake and body weight maintenance.
背景
进行荟萃分析以比较双通路（DT）和 Roux-en-Y（RY）重建术在部分和全胃切除术中的手术及功能结果。
方法
检索 PubMed、Ovid、科学网、Wiley、EBSCO 和考克兰图书馆中央数据库，查找比较部分或全胃切除术后 DT 和 RY 的研究。收集并分析手术、营养及长期结果。
结果
纳入 8 项研究中的 595 例患者。两组间手术时间、首次排气时间、住院时间、并发症、术后营养变量及功能结果相似。DT 组术后 2 年失血量明显更少、经口进食时间更短且体重减轻更少。
结论
胃切除术后，DT 重建术在安全性、包括反流症状和术后恢复在内的手术结果方面与 RY 相当，且在食物摄入和体重维持方面表现更佳。
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