摘要
目的探讨腹腔镜根治性全胃切除术、开腹根治性全胃切除术后早期肠内营养支持效果和肠功能恢复情况,并观察临床安全性。方法 2012年1月至2013年8月在我院住院治疗的38例胃中、上部恶性肿瘤患者,随机分为开腹手术组、腹腔镜手术组,每组19例。所有患者于术后12 h给予同样肠内营养并逐量增加,共用6 d,前4 d同时给予肠外营养。观察患者肠功能恢复时间、消化道症状,总蛋白(TP)、白蛋白(ALB)和前白蛋白(PA)水平以及各种相关并发症发生率等。结果腹腔镜手术组较开腹手术组术后肠功能恢复时间显著提前(P<0.01),腹腔镜手术组营养支持后白蛋白、前白蛋白显著高于开腹手术组(均P<0.01)。结论根治性全胃切除术后患者接受早期肠内营养支持,有利于营养状况恢复,该营养途径安全、合理。因此,早期肠内营养治疗支持下腹腔镜根治性全胃切除术患者营养状况、肠功能恢复较开腹手术优势明显。
Objective To evaluate the effect,safety and the resumption of gastrointestinal function of postoperative early enteral nutrition support after laparoscopic radical total gastrectomy and open surgery in patients with gastric cancer. Methods 38 cases with gastric cancer were randomly divided into two groups,19 cases treated by laparoscopic surgery were in laparoscopic group,and other 19 cases treated by open surgery were in open group. All cases were given enteral nutrition from the first postoperative day to the sixth day. The time of resumption of gastrointestinal function,gastrointestinal reaction,total protein(TP), albumin (ALB)and prealbumin (PA)were observed. Results The time of resumption of gastrointestinal function in laparoscopic group was significantly earlier than that in open group (P < 0.01). The albumin and prealbumin in laparoscopic group were significantly higherthan those in open group (all P < 0.01). Conclusions Early enteral nutrition is a safe and effective nutritional path way after radical total gastrectomy of gastric cancer. The resumption of gastrointestinal function in laparoscopic group is obviously better than that in open group.
出处
《中华腔镜外科杂志（电子版）》
2014年第2期144-146,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
2012年无锡市第六批科技发展计划项目(CSE01N1219)
关键词
肠内营养
腹腔镜
胃癌
全胃切除术
Enteral nutrition
Laparoscopy
Gastric cancer
Total gastrectomy
