摘要
目的:探讨腹腔镜下胃癌根治术后未留置胃管的安全性和可行性。方法:将40例择(限)期腹腔镜胃癌根治术患者随机分为术后无胃肠减压组(实验组)和术后胃肠减压组(对照组)。比较两组患者术后胃肠功能的恢复、吻合口漏以及其他并发症的发生率。结果:结果表明实验组和对照组首次肠鸣音时间分别为(24.20±4.16)、(24.95±4.19)h(t=-0.568,P>0.05);两组首次排气时间分别为(62.40±9.81)、(61.40±8.49)h(t=0.345,P>0.05);两组首次排便时间分别为(94.30±10.69)、(95.45±8.91)h(t=-0.369,P>0.05),差异均无统计学意义。两组患者并发症方面:实验组咽喉疼痛的发生率(7/20)明显低于对照组(17/20,χ^(2)=10.417,P<0.05);实验组肺部感染的发生率(5/20)低于对照组(12/20,χ^(2)=5.013,P<0.05),差异有统计学意义。术后恶心呕吐、重置胃管、吻合口及十二指肠残端瘘、切口感染等并发症无统计学意义(P>0.05)。结论:腹腔镜下胃癌根治术未留置胃管能有效降低肺部并发症及咽喉疼痛的发生率,促进患者早期康复,与围手术期留置胃管比较更具优势。
Objective To study the safety and feasibility of non-indwelling gastric tube after laparoscopic gastrectomy for gastric cancer.Methods 40 patients undergoing elective laparoscopic radical gastrectomy were randomly divided into two groups:postoperative nasogastric decompression group(experimental group)and postoperative nasogastric decompression group(control group).The incidence of gastrointestinal function recovery,anastomotic leakage and other complications ware compared between the two groups.Results The results showed that the first bowel sound time of the experimental group and the control group was(24.20±4.16),(24.95±4.19)h(t=-0.568,P>0.05);The first exhaust time of the two groups was(62.40±9.81),(61.40±8.49)h(t=0.345,P>0.05);The first defecation time of the two groups was(94.30±10.69),(95.45±8.91)h(t=-0.369,P>0.05).The incidence of throat pain in the experimental group(7/20)was significantly lower than that in the control group(17/20,χ^(2)=10.417,P<0.05);The incidence of pulmonary infection in the experimental group(5/20)was lower than that in the control group(12/20,χ^(2)=5.013,P<0.05).There was no significant difference in postoperative nausea and vomiting,gastric tube replacement,anastomotic stoma and stump fistula,incision infection(P>0.05).Conclusion Laparoscopic radical gastrectomy without indwelling gastric tube can effectively reduce the incidence of pulmonary complications and throat pain,accelerate the recovery of the patients and has more advantages than indwelling gastric tube during perioperative period.
作者
徐媛
许涛
Xu Yuan;Xu Tao(Department of Critical Care Medicine,Wuhan Fourth Hospital,Wuhan 430030,China)
出处
《中华实验外科杂志》
CAS
北大核心
2022年第12期2457-2459,共3页
Chinese Journal of Experimental Surgery
关键词
腹腔镜
胃癌
胃管
Laparoscope
Gastric cancer
Gastric tube
