摘要
目的:观察腹腔镜辅助下近端胃切除双通道吻合消化道重建术治疗早期近端胃癌(PGC)患者的效果。方法:选取68例早期PGC患者作为研究对象,按照随机数字表法分为研究组和对照组各34例。两组均采取腹腔镜辅助下近端胃切除术,研究组采用双通道吻合消化道重建术治疗,对照组采用Roux-en-Y消化道重建术治疗,比较两组手术相关指标水平、手术前后营养指标(血红蛋白、血清白蛋白、血清总蛋白)水平和术后并发症发生率。结果:两组术中出血量、手术时间、首次排气时间、首次进食时间和住院时间比较,差异均无统计学意义(P>0.05);术后,研究组血红蛋白、血清白蛋白和血清总蛋白水平均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为26.47%,低于对照组的52.94%,差异有统计学意义(P<0.05)。结论:腹腔镜辅助下近端胃切除双通道吻合消化道重建术治疗早期PGC患者,可提高术后营养指标水平,降低并发症发生率,其效果优于Roux-en-Y消化道重建术治疗。
Objective:To observe effects of laparoscopic-assisted proximal gastrectomy with dual-channel anastomosis digestive tract reconstruction in treatment of patients with early proximal gastric cancer(PGC).Methods:68 patients with early PGC were selected as the research objects,and were divided into study group and control group according to the random number table method,34 cases in each group.Both groups were treated with laparoscopic-assisted proximal gastrectomy.Besides,the study group was treated with dual-channel anastomosis digestive tract reconstruction,while the control group was treated with Roux-en-Y digestive tract reconstruction.The levels of surgery n-related indicators,the levels of nutritional indicators(hemoglobin,serum albumin,and total serum protein)before and after the surgery,and the incidence of postoperative complications were compared between the two groups.Results:There were no significant differences in the intraoperative blood loss,the operation time,the first exhaust time,the first meal time,and the hospitalization time between the two groups(P>0.05).After the surgery,the levels of hemoglobin,serum albumin and total serum protein in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the complication rate in the study group was 26.47%,which was lower than 52.94%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Laparoscopic-assisted proximal gastrectomy with dual-channel anastomosis digestive tract reconstruction in the treatment of the early PGC patients can improve the levels of postoperative nutritional indicators and reduce the incidence of complications.Moreover,it is superior to Roux-en-Y digestive tract reconstruction.
作者
秦国钰
QIN Guoyu(Department of General Surgery of the Third People’s Hospital of Liaoyang,Liaoyang 111000 Liaoning,China)
出处
《中国民康医学》
2021年第22期15-17,共3页
Medical Journal of Chinese People’s Health
关键词
近端胃癌
腹腔镜
近端胃切除
双通道吻合术
Roux-en-Y消化道重建术
营养指标
并发症
Proximal gastric cancer
Laparoscopy
Proximal gastrectomy
Dual-channel anastomosis
Roux-en-Y digestive tract reconstruction
Nutritional indicator
Complication
