摘要
目的:探究腹腔镜下远端胃癌切除后消化道不同重建方式对患者预后的影响。方法:回顾性分析107例腹腔镜下远端胃癌切除后消化道重建患者的临床资料,术后均随访1年。根据患者消化道重建方式不同分为Ⅰ组(n=30)、II组(n=28)和R组(n=49),Ⅰ组采取Billroth-Ⅰ式吻合;Ⅱ组患者采取Billroth-Ⅱ式联合布朗吻合;R组患者采取Roux-en-Y吻合。探究各组围术期情况,比较各组术后3周内及术后1年时并发症发生情况。结果:Ⅰ组患者手术时间低于Ⅱ组及R组(P<0.05);各组患者术后3周内并发症发生率比较,差异均无统计学意义(P>0.05);术后1年,R组患者胆汁反流、反流性胃炎发生率低于Ⅰ组及Ⅱ组(P<0.05)。结论:Billroth-Ⅰ式吻合有助于缩短手术时间,但Roux-en-Y吻合在术后远期效果更具优势。
Objective:To explore the influence of different digestive tract reconstruction methods on the prognosis of patients after laparoscopic resection of distal gastric cancer.Methods:The clinical data of 107 patients with digestive tract reconstruction after laparoscopic resection of distal gastric cancer were retrospectively analyzed,and all patients were followed up for 1 year after surgery.Patients were divided into three groups according to the digestive tract reconstruction methods.Patients in groupⅠwere treated with Billroth-Ⅰanastomosis(n=30),patients in groupⅡwere given Billroth-Ⅱcombined Braun anastomosis(n=28),and patients in group R were treated with Roux-en-Y anastomosis(n=49).The differences in perioperative conditions were explored in the three groups,and the differences in the occurrence of complications within 3 weeks and 1 year after surgery were compared among the groups.Results:The surgical time in groupⅠwas shorter than that in groupⅡand group R(P<0.05).There were no statistically differences in complications within 3 weeks after surgery among the three groups(P>0.05).The incidence rates of bile reflux and reflux gastritis in group R within 1 year after surgery were lower than those in groupsⅠandⅡ(P<0.05).Conclusion:Billroth-Ⅰanastomosis can help to shorten the surgical time,but Roux-en-Y anastomosis is more advantageous in long-term postoperative results.
作者
李龙
柏宇
欧均斌
周强
LI Long;BO Yu;OU Jun-bin;ZHOU Qiang(Department of General Surgery,903 Hospital,Jiangyou 621700,Sichuan,China)
出处
《川北医学院学报》
CAS
2024年第4期548-550,共3页
Journal of North Sichuan Medical College
关键词
远端胃癌
腹腔镜
消化道重建
预后
并发症
Resection of distal gastric cancer
Laparoscopic
Digestive tract reconstruction
Prognosis
Complications
