■探讨腹腔镜辅助近端胃切除术后双通道消化道重建的临床效果。
■珠江医院共40例近端胃癌患者行胃切除术,南方医科大学,收集相关临床资料。根据治疗方法分为TG-RY组(全胃切除术+Roux-en-Y重建组)和PG-DT组(近端胃切除术+双道重建组)。一般数据,围手术期指标,营养指标,对两组患者的术后并发症进行分析比较。
■两组一般资料比较无统计学意义,PG-DT组TNM分期III期患者比例高于TG-RY组。同时,术中失血,术后住院时间,PG-DT组首次排气时间低于TG-RY组(P<0.05)。手术后,PG-DT组的营养指标下降,降低程度小于TG-RY组,PG-DT组的感染指标比TG-RY组少。术后并发症统计分析显示PG-DT组的总发生率低于TG-RY组。
■胃癌近端切除和术后DTR吻合术可有效加快患者的恢复,降低术后并发症的发生率,具有良好的疗效。本实验为各种术后吻合方法的优点提供了证据,也为临床医生的诊断和治疗提供了可靠的依据。从而有效提高患者术后生活质量。
UNASSIGNED: To investigate the clinical effect of laparoscopic-assisted proximal gastrectomy with postoperative double-channel digestive tract reconstruction.
UNASSIGNED: A total of 40 patients with proximal gastric cancer who underwent gastrectomy in Zhujiang Hospital, Southern Medical University, were selected to collect relevant clinical data. They were divided into two groups according to their treatment methods: TG-RY group (total gastrectomy with Roux-en-Y reconstruction group) and PG-DT group (proximal gastrectomy with double tract reconstruction group). The general data, perioperative indicators, nutritional indicators, and postoperative complications of the two groups were analyzed and compared.
UNASSIGNED: There was no statistical significance in the comparison of general data between the two groups, but the proportion of III stage patients of TNM stage in the PG-DT group was larger than that in the TG-RY group. Meanwhile, the intraoperative blood loss, postoperative hospital stay, and first exhaust time in PG-DT group were lower than those in TG-RY group (P < 0.05). After surgery, the nutritional indexes of the PG-DT group decreased, and the decrease degree was less than that of the TG-RY group, while the infection indicators of the PG-DT group increased less than that of the TG-RY group. Statistical analysis of postoperative complications showed that the total incidence of PG-DT group was lower than that of TG-RY group.
UNASSIGNED: Proximal gastric cancer resection and postoperative DTR anastomosis can effectively speed up the recovery of patients and reduce the incidence of postoperative complications, with good efficacy. This experiment provides evidence for the advantages of various postoperative anastomosis methods and also provides a reliable basis for clinicians\' diagnosis and treatment, thus effectively improving patients\' postoperative quality of life.