腹腔镜外科杂志2026，Vol.31Issue(1)：51-57,7.DOI:10.13499/j.cnki.fqjwkzz.2026.01.051
全腹腔镜全胃切除术中自牵引后离断食管空肠线性吻合的短中期疗效分析
A study on short-to mid-term efficacy of self-pulling and later transection linear esophagojejunal anastomosis in totally laparoscopic total gastrectomy
摘要
Abstract
Objective:To investigate the short-to mid-term efficacy of self-pulling and later transection linear esophagojejunal anastomosis in totally laparoscopic total gastrectomy.Methods:Ninety patients who underwent laparoscopic total gastrectomy between Jun.2020 and Jun.2024 were selected.According to the intraoperative esophagojejunal anastomosis method,patients were divided into the linear group(n=40,treated with self-pulling and later transection linear esophagojejunal anastomosis),and the circular group(n=50,treated with mini-laparotomy circular esophagojejunal anastomosis).Operative related parameters,complication rate,nutritional sta-tus,and quality of life at 6 months after operation were compared between the two groups.Results:The operation time and esophagojeju-nal anastomosis time in the linear group were shorter than those in the circular group,and the differences were statistically significant(t=-2.523,Z=-5.691,P<0.05).There were no statistically significant differences between the two groups in intraoperative blood loss,time to first postoperative anal flatus,and postoperative hospital stay(Z=-1.912,t=-0.316,Z=-1.072,P>0.05).There were no sta-tistically significant differences in the total postoperative complication rate(10.0%vs.18.0%)and nutritional status[hemoglobin(121.35±10.75)g/L vs.(122.54±11.77)g/L,albumin(39.55±2.04)g/L vs.(39.16±1.46)g/L,BMI(21.89±1.34)kg/m2 vs.(21.77±1.65)kg/m2]between the linear group and the circular group(P>0.05).At6 months after operation,follow-up using the European organization for research and treatment of cancer quality of life questionnaire-core 30 showed that the pain symptoms in the linear group were milder,and the difference was statistically significant(Z=-2.268,P<0.05);follow-up using the European organiza-tion for research and treatment of cancer quality of life gastric cancer-specific questionnaire-22 showed that the linear group had fewer dysphagia symptoms and milder pain symptoms,and the differences were statistically significant(Z=-3.167,Z=-2.615,P<0.05).Conclusions:The use of self-pulling and later transection linear esophagojejunal anastomosis in totally laparoscopic total gastrectomy can shorten operative time,improve the operation efficiency and the patient's quality of life,without increasing surgical complications,which is worthy of clinical promotion.关键词
全胃切除术/腹腔镜检查/自牵引后离断食管空肠吻合/线性吻合/圆型吻合/并发症Key words
Total gastrectomy/Laparoscopy/Self-pulling latter transection esophagojejunal anastomosis/Linear anastomosis/Circular anastomosis/Complications分类
医药卫生引用本文复制引用
陈爱山,沈加成,周磊,苗志龙,蒿汉坤..全腹腔镜全胃切除术中自牵引后离断食管空肠线性吻合的短中期疗效分析[J].腹腔镜外科杂志,2026,31(1):51-57,7.基金项目
江苏医药职业学院校地协同创新研究项目(20229121) （20229121）
