腹腔镜外科杂志2024，Vol.29Issue(3)：199-204,6.DOI:10.13499/j.cnki.fqjwkzz.2024.03.199
食管-管状胃吻合与双通道吻合在腹腔镜近端胃切除消化道重建中的对比研究
Comparative study on the application of esophageal tubular stomach anastomosis and double-channel anastomosis in gastrointestinal reconstruction after laparoscopic proximal gastrectomy
摘要
Abstract
Objective:To investigate the application value of double-channel anastomosis and esophageal tubular stomach anas-tomosis in the reconstruction of the digestive tract after proximal gastrectomy.Methods:Fifty patients who underwent laparoscopic proxi-mal gastrectomy from Jun.2021 to Jun.2023 were selected and divided into double-channel anastomosis group and tubular stomach anastomosis group according to the reconstruction method.The intraoperative conditions(operation time,number of anastomosis devices used,intraoperative blood loss,number of lymph nodes dissection),postoperative stress indicators,postoperative recovery(postoperative exhaust time,hospital stay),postoperative complications,postoperative 6-month gastroesophageal reflux,nutritional status and anemia status were compared between the two groups.Results:The operation time of the tubular stomach anastomosis group was shorter than that of the double-channel anastomosis group(P<0.05),and the number of anastomosis devices used was less(P<0.05).There were no significant differences in intraoperative blood loss,number of lymph nodes dissection,postoperative neutrophil count,postoperative C-reactive protein,postoperative ventilation time,feeding time,postoperative hospital stay,and postoperative complication rate between the two groups(P>0.05).At 6 months after operation,the severity of reflux esophagitis was lighter in the double-channel anastomosis group than that in the tubular stomach anastomosis group(P<0.05),and the BMI and albumin values were higher(P<0.05).Conclu-sions:Both esophageal tubular stomach anastomosis and double-channel anastomosis techniques demonstrate favorable safety and practi-cality in the reconstruction of digestive tract after proximal gastrectomy.The operation time of tubular stomach reconstruction is shorter,and fewer anastomosis devices are used.In contrast,double-channel anastomosis has better anti-reflux effect and nutritional status in the short term.关键词
胃肿瘤/近端胃切除术/腹腔镜检查/双通道吻合/食管-管状胃吻合/胃食管反流Key words
Stomach neoplasms/Proximal gastrectomy/Laparoscopy/Double-channel anastomosis/Esophageal tubular stomach anastomosis/Gastroesophageal reflux分类
医药卫生引用本文复制引用
李天生,冯东升..食管-管状胃吻合与双通道吻合在腹腔镜近端胃切除消化道重建中的对比研究[J].腹腔镜外科杂志,2024,29(3):199-204,6.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20210948) （LHGJ20210948）
