中国内镜杂志2026，Vol.32Issue(8)：62-71,10.DOI:10.12235/E20250677
Poke技术在腹腔镜远端胃癌根治术消化道重建中的应用价值
Clinical study on the application value of the intraluminal Poke technique in digestive tract reconstruction during laparoscopic distal radical gastrectomy
赵立志 1何美玲 2申志成 1尚佩强 1王志伟 1唐纪全 1王守立 1柏巍松 1董德嘉 1侯强1
作者信息
- 1. 汉中市中心医院 消化外科,陕西 汉中 723000
- 2. 汉中市中心医院 病案统计科,陕西 汉中 723000
- 折叠
摘要
Abstract
Objective To explore the application value of different anastomosis techniques in digestive tract reconstruction during laparoscopic distal radical gastrectomy for distal gastric cancer.Methods A retrospective analysis was conducted on the clinical data of 186 patients with distal gastric cancer treated at our hospital from January 2020 to December 2024.Based on the anastomotic techniques,the patients were divided into three groups.The Poke group(n=59)consisted of patients who underwent the intracorporeal Poke technique for Roux-en-Y anastomosis.The assistant anastomosis group(n=85)received mini-incision-assisted Roux-en-Y anastomosis.The Billroth II group(n=42)underwent totally laparoscopic linear stapler Billroth II anastomosis combined with Braun anastomosis.Perioperative outcomes,postoperative complications,gastrointestinal symptom scores at six months postoperatively,and changes in nutrition-related indicators were compared among the three groups.Results Although the anastomosis time was significantly longer in the Poke and Billroth II groups than in the assistant anastomosis group(P<0.01),the total incision length in the Poke and Billroth II groups was shorter.Furthermore,the visual analogue scale(VAS)scores at 24 and 72 hours postoperatively were significantly lower in the Poke and Billroth II groups compared to the assistant anastomosis group(P<0.01).The Poke group had a significantly lower overall incidence of long-term complications and dumping syndrome than both the Billroth II and assistant anastomosis groups.Additionally,the Billroth Ⅱ group experienced more severe gastrointestinal discomfort symptoms at six months postoperatively compared to the other two groups(P<0.0167).Conclusion Application of the Poke technique for Roux-en-Y anastomosis in laparoscopic distal radical gastrectomy offers advantages such as small incisions and mild postoperative pain.Furthermore,it reduces the overall incidence of long-term complications and dumping syndrome,resulting in milder long-term gastrointestinal symptoms.It possesses certain clinical application value.关键词
腹腔镜/远端胃癌根治术/鲁氏Y形(Roux-en-Y)吻合术/Poke技术/疗效对比Key words
laparoscope/radical distal gastrectomy/Roux-en-Y anastomosis/Poke technique/effect of contrast分类
医药卫生引用本文复制引用
赵立志,何美玲,申志成,尚佩强,王志伟,唐纪全,王守立,柏巍松,董德嘉,侯强..Poke技术在腹腔镜远端胃癌根治术消化道重建中的应用价值[J].中国内镜杂志,2026,32(8):62-71,10.
