腹腔镜胃癌术后不同消化道重建方法的临床分析

doi:10.3969/j.issn.2095-378X.2017.02.003

Abstract

Abstract: Objective To analyze the clinical effects of different digestive tract reconstructions after laparoscopic gastric cancer surgery.Methods The clinical data of 82 cases who underwent laparoscopic gastric cancer surgery were retrospectively analyzed.After the surgery,45 cases in observation group received jejunal interposition,and 37 cases in control group recieved esophageal residual stomach anastomosis.Surgical conditions,surgical related complications,postoperative serum albumin,and body weight were compared between the two groups.Results No significant differences in operation time,intraoperative blood loss,and incidence rates of postoperative anastomotic leakage and anastomotic stenosis were observed between the two groups.The esophageal reflux rate in the observation group was significantly lower than that in the control group (P<0.05),and the serum albumin level was higher and the body mass improvement was bigger in the observation group than in control group (P<0.05).Conclusion Jejunal intercost,as a reconstruction method after laparoscopic gastric cancer surgery,Results in less complications,benefits the improvement of nutritional status and body weight,and has clinical significance.

Key words: Laparoscopy, Gastric cancer surgery, Gastrointestinal reconstruction, Jejunal interposition, Esophageal residual stomach anastomosis

CLC Number:

R659

ZHENG Zhihua, HUANG Wenchang, SU Yibin, CHEN Guobao, LIU Jiangrui. Clinical analysis of different digestive tract reconstructions after laparoscopic gastric cancer surgery[J]. Surgical Research and New Technique, 2017, 6(2): 82-84.

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Clinical analysis of different digestive tract reconstructions after laparoscopic gastric cancer surgery

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