国际老年医学杂志2025，Vol.46Issue(5)：529-533,5.DOI:10.3969/j.issn.1674-7593.2025.05.004
Kamikawa吻合术在老年胃癌患者近端胃切除术中的应用效果及安全性评价
Evaluation of the efficacy and safety of kamikawa anastomosis in proximal gastrectomy for elderly patients with gastric cancer
摘要
Abstract
Objective To explore the efficacy and safety of Kamikawa anastomosis(esophagogastric anastomosis with doub-le muscle flap formation)in radical proximal gastrectomy for elderly patients with gastric cancer.Methods A total of 120 elderly pa-tients with gastric cancer admitted to the department of gastrointestinal surgery of Peking University First Hospital Taiyuan Hospital from January to December 2023 were selected as the research subjects.According to the random number table method,the included patients were randomly divided into the observation group and the control group,with 60 cases in each group.The control group underwent total laparoscopic proximal gastrectomy+esophagogastric anastomosis,while the observation group underwent total laparoscopic proximal gastrectomy+Kamikawa anastomosis.The preoperative general data,surgical data(operation time,intraoperative blood loss,incision length,anastomosis time),postoperative conditions(postoperative time to anal gas release,postoperative first meal time,postopera-tive hospital stay,total treatment cost),and follow-up conditions(including postoperative complications,safety evaluation,postopera-tive efficacy analysis)were compared between the two groups.Results The operation time of the observation group was longer than that of the control group(P<0.05),but there were no statistically significant differences in intraoperative blood loss,incision length,and anastomosis time between the two groups(P>0.05).The first liquid diet time,first anal gas release time,and postoperative hos-pital stay of the observation group were shorter than those of the control group(P<0.05),and the total operation cost was lower than that of the control group(P<0.05).The incidence of reflux esophagitis in the observation group was lower than that in the control group(P<0.05).One patient in the observation group had tumor recurrence and metastasis;two patients in the control group had re-currence(no metastasis).There was no statistically significant difference in the recurrence and metastasis situation between the two groups(P>0.05).One patient in the control group died due to pulmonary infection,and another had local wound infection.One pa-tient in the observation group had a local wound infection.The occurrence of postoperative complications between the two groups was not statistically significant(P>0.05).The subjective overall nutritional assessment scale and quality of life score of the patients in the observation group were higher than those in the control group(P<0.05).Conclusion Kamikawa anastomosis can be used for the di-gestive tract reconstruction after total laparoscopic proximal gastrectomy for elderly patients with adenocarcinoma of the esophagogastric junction,and the short-term efficacy is good.关键词
Kamikawa吻合术/近端胃切除术/胃肿瘤/疗效评价Key words
Kamikawa anastomosis/Proximal gastrectomy/Gastric cancer/Efficacy evaluation引用本文复制引用
李国栋,梁奇正,范悦,高伟东..Kamikawa吻合术在老年胃癌患者近端胃切除术中的应用效果及安全性评价[J].国际老年医学杂志,2025,46(5):529-533,5.基金项目
国家自然科学基金资助项目(82273539) （82273539）
山西省大健康产业高质量发展科研专项课题(第二批)研究项目(DJKZXKT2023207) （第二批）
