摘要
[目的]探究全腹腔镜毕Ⅰ式吻合术在远端胃癌根治术中消化道重建的临床疗效分析。[方法]回顾性分析2015-03-2018-03期间我科收治的86例远端胃癌患者的临床资料,依据手术方法的不同,分为对照组(n=43)和观察组(n=43),所有患者均进行全腹腔镜下远端胃癌根治术,对照组予以辅助切口毕Ⅰ式吻合术,观察组予以全腹腔镜下毕Ⅰ式吻合术。观察对比2组术中、术后指标及术后并发症发生情况。[结果]观察组手术时间及消化道重建时间显著高于对照组(P<0.05)。2组淋巴结清扫数目、术中出血量及切口长度比较,差异无统计学意义(P>0.05);2组住院天数、首次通气时间及移除置管时间比较,差异无统计学意义(P>0.05)。观察组术后并发症总发生率显著低于对照组(P<0.05)。[结论]远端胃癌患者实施全腹腔镜下远端胃癌根治术,通过对比全腹腔镜下毕Ⅰ式吻合术与辅助切口毕Ⅰ式吻合术,二者近期临床疗效比较差异无统计学意义,但全腹腔镜下毕Ⅰ式吻合术并发症发生率较低,更为安全。
[Objective]To explore the clinical analysis of total laparoscopic Ⅰ anastomosis for gastrointestinal reconstruction after radical gastrectomy for gastric cancer.[Methods]The clinical data of 86 cases of gastric cancer treated in Department of General Surgery of our hospital from March 2015 to March 2018 were analyzed retrospectively.According to the different methods of operation,the clinical data were divided into the control group(n=43)and the observation group(n=43),all patients underwent total laparoscopic radical gastrectomy for distal gastric cancer.The control group was assisted by Ⅰ anastomosis withthe auxiliary incision,and the observation group was treated with all laparoscopic sex Ⅰ anastomosis.The intraoperative and postoperative indexes and postoperative complications were observed and compared between the two groups.[Results]The operative time and digestive tract reconstruction time in the observation group were significantly higher than those in the control group(P<0.05).There was no significant difference in the number of lymph node dissection,intraoperative blood loss and incision length between the two groups(P>0.05).There was no significant difference in the days of hospitalization,the time of first ventilation and the time of removal of straight tubes between the two groups(P>0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).[Conclusion]The total laparoscopic radical gastrectomy for gastric cancer was performed in the patients with gastric cancer.By comparing the total laparoscopic Ⅰ anastomosis with the auxiliary incision and the Ⅰ type anastomosis,There was no significant difference in the short-term clinical efficacy between the two groups,but the incidence of complications of laparoscopic Ⅰ anastomosis was lower and safer.
作者
庞绍春
吴国忠
姜杰
潘天生
林良学
PANG Shao-chun;WU Guo-zhong;JIANG Jie;PAN Tian-sheng;LIN Liang-xue(General Surgery,Guangdong Nongken Central Hospital,Zhanjiang,Guangdong 524002,China)
出处
《临床消化病杂志》
2018年第6期343-346,共4页
Chinese Journal of Clinical Gastroenterology
基金
湛江市非资助科技攻关计划项目(No:2016B01030)
关键词
胃癌
全腹腔镜下远端胃癌根治术
毕Ⅰ式吻合
临床疗效
gastric cancer
total laparoscopic radical gastrectomy for distal gastric cancer
Bi Ⅰ anastomosis
clinical efficacy
