Total Gastrectomy For Gastric Cancer And The Digestive Tract Reconstruction

Objective To study total gastrectomy and the suitable operation style ofdigestive tract for gastric cancer, in order to reduce postoperative complicationsand improve the QOL (quality of life) of patients. Methods 20 patients with gastric cancer underwent total gastrectomywere observed and the recent QOL, body weight and serum nutritionalparameters among 5 different reconstructive types were compared. Results There were no death cases in this group. The complicationincidence was 25%, of which 2 particular complications were related to thereconstructive types of digestive tract and was 10%, 3 common complicationsaccount for 15%. Conclusion The abdominal incision is the main operative approach. Tothose invaded to the lover part of esophagus, thoracicoabdominal incisionshould be adopted. Simultaneous resection with some other organs in totalgastrectomy should be cautiously considered. The Roux-en-Y with "P"pouchmodal of reconstruction and "P"pouch jejunal interposition to substitute theresected stomach are two better and more reasonable reconstructive types.