摘要
目的对比腹腔镜下胃癌根治uncut-roux-en-y吻合术与传统roux-en-y吻合术的疗效。方法回顾性分析2016年3月至2018年3月行腹腔镜下胃癌根治术80例患者资料,按照不同吻合方式分为两组,各40例。roux-en-y组实施传统roux-en-y吻合术,uncut-roux-en-y组实施uncut-roux-en-y吻合术。采用SPSS18.0进行统计分析,两组术中术后指标用(x^-±s)表示,行独立t检验;两组术后滞留综合征发生率行χ^2检验,P<0.05为差异有统计学意义。结果 uncut-roux-en-y组手术时间、肠功能恢复时间及住院时间均短于roux-en-y组(P<0.05)。uncut-roux-en-y组术后术后滞留综合征发生率5%低于roux-en-y组27.5%,差异有统计学意义(P<0.05)。结论腹腔镜下胃癌根治uncut-roux-en-y吻合相比于传统roux-en-y吻合可有效缩短手术操作时间,降低术后滞留综合征发生率,值得推广。
Objective To compare the clinical outcome of laparoscopic radical radical resection of uncut-roux-en-y anastomosis with conventional Roux-en-y anastomosis. Methods From March 2016 to March 2018, retrospective analysis of 80 patients with gastric cancer underwent laparoscopic radical gastrectomy were performed, including each 40 cases in two groups according to different anastomosis methods The operative effects and postoperative recovery were compared between the two groups, and the incidence of postoperative retention syndrome in the two groups was statistically analyzed. Statistical analysis were performed by using SPSS 18.0 software. Measurement data, such as postoperative indexes were expressed as (x^-±s), and were examined by using independent t test. Count data such as incidence of postoperative retention syndrome were examined by chi square test. A P value <0.05 was considered as statistically significant difference. Results The operation time, intestinal function recovery time and length of stay in the uncut-roux-en-y group were significantly shorter than those in the roux-en-y group respectively(P<0.05). The incidence of postoperative retention syndrome of 5% in the uncut-roux-en-y group was lower than 27.5% in the roux-en-y group, with significant difference(P<0.05). Conclusion Laparoscopic radical gastrectomy for uncut-roux-en-y anastomosis compared with conventional roux-en-y anastomosis could effectively shorten the operation time and could reduce the incidence of postoperative retention syndrome, which is worthy of promotion.
作者
高向东
卢健
沈旭东
Gao Xiangdong;Lu Jian;Shen Xudong(Affiliated Aoyang Hospital of Jiangsu University (Zhangjiagang Aoyang Hospital),Jiangsu 215600,China;Department of General Surgery,the Second Affiliated Hospital of Soochow University,Jiangsu 215000 China)
出处
《中华普外科手术学杂志（电子版）》
2019年第4期366-368,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
苏州市第九批产业技术创新专项,SYS201554~~
