摘要
目的:探讨腹腔镜远端胃切除术应用Overlap吻合术重建消化道的效果。方法:选择腹腔镜远端胃切除术(LDG)治疗的胃癌患者101例,根据消化道重建术式的不同将其分为对照组(59例)和观察组(42例)。对照组采用BillrothⅠ式吻合术,观察组采用Overlap吻合术。对比两组的手术情况、术后恢复及并发症情况。结果:两组的术中出血量、淋巴结清扫数目比较,差异无统计学意义(P>0.05),观察组的手术时间、消化道重建时间短于对照组,切口长度小于对照组,差异有统计学意义(P<0.05),观察组的术后首次排气时间、住院时间短于对照组,差异有统计学意义(P<0.05),观察组术后并发症发生率(4.76%)与对照组(5.08%)比较,差异无统计学意义(P>0.05)。结论:LDG应用Overlap吻合术重建消化道安全、有效,相比传统的BillrothⅠ式吻合术能够缩短手术时间及消化道吻合时间,减小切口长度,有利于术后恢复。
Objective To investigate the effect of reconstruction of digestive tract by Overlap anastomosis in laparoscopic distal gastrectomy.Method A total of 101 patients with gastric cancer treated by laparoscopic distal gastrectomy(LDG)in our hospital from February 2018 to February 2020 were selected and divided into control group(59 cases)and observation group(42 cases)according to the different reconstruction methods of digestive tract.Billroth Ⅰ anastomosis was used in the control group,Overlap anastomosis was used in the observation group.The operative conditions,postoperative recovery and complications were compared between the two groups.Results There was no significant difference in intraoperative blood loss and number of lymph node dissection between the two groups(P>0.05).The operation time,reconstruction time of digestive tract and incision length of the observation group were shorter than those of the control group(P<0.05).The first postoperative exhaust time and hospital stay of the observation group were shorter than those of the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the observation group(4.76%)and the control group(5.08%)(P>0.05).Conclusion LDG Overlap anastomosis is safe and effective for reconstruction of digestive tract.Compared with the traditional Billroth Ⅰ anastomosis,Overlap anastomosis can shorten the operation time and the anastomosis time of digestive tract,reduce the incision length,and is conducive to postoperative recovery,which is worthy of application.
作者
邓崇文
廖喜望
周福印
Deng Chongwen;Liao Xiwang;Zhou Fuyin(Department of General Surgery,Loudi Central Hospital,Loudi,Hunan 417000,China)
出处
《吉林医学》
CAS
2022年第4期945-947,共3页
Jilin Medical Journal
