实用心电与临床诊疗2025，Vol.34Issue(6)：811-816,封3,7.DOI:10.13308/j.issn.2097-5716.2025.06.006
早期胃食管结合部腺癌行腹腔镜近端胃切除管状胃食管圆形吻合术短期疗效分析
Analysis of short-term efficacy of laparoscopic proximal gastrectomy with tubular gastroesophageal circular anastomosis for early-stage esophagogastric junction adenocarcinoma
摘要
Abstract
Objective To evaluate the short-term efficacy of proximal gastrectomy combined with tubular gastroesophageal circular anastomosis in the treatment of early-stage esophagogastric junction adenocarcinoma(EGJA).Methods Clinical data of 7 patients with early-stage EGJA who had undergone this procedure were retrospectively analyzed.Parameters included baseline characteristics,perioperative indicators,and follow-up outcomes,with a focus on perioperative status,complication incidence,postoperative nutritional status and gastroesophageal reflux.Results All the 7 patients successfully underwent laparoscopy-assisted proximal gastrectomy with tubular gastroesophageal circular anastomosis.The mean operative time was(227.1±51.9)minutes,the mean anastomosis time was(54.4±10.0)minutes,and the mean intraoperative blood loss was(47.1±28.7)mL.The mean time to first flatus was(3.3±1.3)days,while the mean hospital stay was(21.1±7.6)days.After the procedure,one patient developed an anastomotic leak,with no other complications recorded.At the 6-month follow-up,the mean serum albumin level was(39.2±3.4)g/L,the mean hemoglobin level was(124.6±13.8)g/L,and the mean gastroesophageal reflux disease questionnaire score was(3.1±0.9)points.Both gastroscopy and upper gastrointestinal radiography with iodinated contrast studies showed no significant signs of reflux esophagitis.Conclusion Laparoscopic proximal gastrectomy with tubular gastroesophageal circular anastomosis is a safe and feasible approach for patients with early-stage EGJA.Initial findings suggest that this technique demonstrates reliable anti-reflux efficacy,helps to reduce the risk of postoperative reflux esophagitis,and contributes to improved quality of life after surgery.关键词
胃食管结合部腺癌/近端胃切除/胃食管反流/短期疗效Key words
esophagogastric junction adenocarcinoma/proximal gastrectomy/gastroesophageal reflux/short-term efficacy分类
医药卫生引用本文复制引用
YIN Kai,HAN He,SHI Xianhong,FAN Xin,DANG Shengchun,QU Jianguo,CHEN Jixiang..早期胃食管结合部腺癌行腹腔镜近端胃切除管状胃食管圆形吻合术短期疗效分析[J].实用心电与临床诊疗,2025,34(6):811-816,封3,7.基金项目
江苏省卫健委医学科研项目(K2023062) （K2023062）
