中国普通外科杂志Issue(10)：1316-1320,5.DOI:10.7659/j.issn.1005-6947.2014.10.003
胃三角吻合术与Billroth I吻合术在腹腔镜远端胃癌根治术中的短期疗效比较
Delta-shaped anastomosis versus Billroth I anastomosis in laparoscopic radical resection of distal gastric cancer：short-term efficacy analysis
摘要
Abstract
Objective: To compare the short-term efficacy of the delta-shaped anastomosis and Billroth I anastomosis in laparoscopic radical distal gastrectomy. <br> Methods: The records of 37 patients with early-stage gastric cancer undergoing laparosicopic radical distal gastrectomy in PLA General Hospital between 2009 and 2013 were selected. Of the patients, 14 cases received delta-shaped anastomosis (delta-shaped anastomosis group) and 23 cases were subjected to Billroth I anastomosis (Billroth I anastomosis group), and the relevant intraoperative and postoperative parameters between the two groups were compared. <br> Results: In delta-shaped anastomosis group compared with Billroth I anastomosis group, the operative time was prolonged, but the intraoperative blood loss was reduced, duration of the analgesic pump therapy, and time to ifrst lfatus and suture removal were all shortened, and all the differences had statistical signiifcance (allP<0.05); there was no statistical difference in length of hospital stay between the two groups (P>0.05). Postoperative pathology showed that the distance of the proximal and distal surgical margins from the tumor in delta-shaped anastomosis group was significantly longer than those in Billroth I anastomosis group (bothP<0.05). No statistical difference was noted in incidence of postoperative complications and adverse reactions between the two groups (P>0.05). <br> Conclusion: The delta-shaped anastomosis can, to a certain degree, reduce the trauma and pain in patients undergoing laparoscopic radical distal gastrectomy, decrease the operative diffculty of laparoscopic surgery and the risk of infection, and promote the recovery of gastrointestinal function of the patients.关键词
胃肿瘤/外科学/胃肠吻合术/腹腔镜Key words
Stomach Neoplasms/surg/Gastroenterostomy/Laparoscopes分类
医药卫生引用本文复制引用
李钊,宁宁,李松岩,李浩,邹博远,杜晓辉..胃三角吻合术与Billroth I吻合术在腹腔镜远端胃癌根治术中的短期疗效比较[J].中国普通外科杂志,2014,(10):1316-1320,5.基金项目
国家自然科学基金资助项目（61170123）；海南省自然科学基金资助项目（813226）。 （）
