Objective To investigate the clinical effect of membrane anatomy guided precise surgical concept in laparoscopic radical gastrectomy for gastric cancer. Methods A total of 98 patients with advanced gastric cancer admitted to Guigang People's Hospital in Guangxi Zhuang Autonomous Region from January 2022 to January 2024 were selected as study subjects. They were randomly divided into a control group and an observation group, with 49 patients in each group. The control group received conventional laparoscopic radical gastrectomy treatment, while the observation group received laparoscopic radical gastrectomy treatment guided by membrane anatomy theory. The surgical time, intraoperative blood loss, number of lymph node dissection, first postoperative exhaust time, hospitalization time, postoperative pain score [by visual analogue scale （VAS）], and incidence of postoperative complications were compared between the two groups of patients. Results Compared with the control group, the surgery time of the observation group patients was longer, the intraoperative blood loss was lower, the number of lymph node dissections was higher, the first postoperative exhaust time and hospitalization time were shorter, the VAS score and incidence of complications were lower; the differences between the two groups were all statistically significant （P<0.05）. Conclusion The precise surgical concept guided by membrane anatomy has a remarkable effect on laparoscopic radical gastrectomy for gastric cancer, which can significantly reduce intraoperative bleeding, postoperative pain, and incidence of complications, and promote postoperative recovery of patients. It is worth applying and promoting.
ZHENG Yichuan
. Clinical application of precise surgical concept guided by membrane anatomy in laparoscopic radical gastrectomy for gastric cancer[J]. Surgical Research and New Technique, 2025
, 14(1)
: 52
-56
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DOI: 10.3969/j.issn.2095-378X.2025.01.012
[1] 翁正辉. 不同入路腹腔镜胃癌根治术对患者胃肠功能及血清炎性因子水平的影响[J]. 外科研究与新技术(中英文),2024,13(1):61-63.
[2] 郑志华,刘江睿,施凉潘,等. 腹腔镜下膜解剖胃癌D2联合CME根治术治疗胃癌的疗效[J]. 中外医疗,2023,42(36):5-8.
[3] 夏扣柱,张健,窦豆,等. 腹腔镜辅助胃癌D2根治术治疗进展期胃癌对比观察[J]. 外科研究与新技术(中英文),2021,10(2):104-106.
[4] 林明强,汪家航. 腹腔镜胃癌根治术对老年胃癌患者围手术期指标及复发情况的影响[J]. 中国医疗器械信息,2023,29(21):113-115.
[5] 潘建海,李中敏,华健灿. 腹腔镜胃癌根治术中腹腔灌注治疗进展期胃癌的疗效观察[J]. 外科研究与新技术(中英文),2020,9(1):17-19.
[6] Yen HH, Yeh CC, Lai IR.Laparoscopic versus open distal gastrectomy for elderly patients with advanced gastric cancer: a retrospective comparative study[J]. World J Surg Oncol, 2022, 20(1): 355.
[7] 许诚,牛云霞,陈治,等. 腹腔镜胃癌根治术对老年早期胃癌患者血清肿瘤标志物、炎性因子的影响[J]. 癌症进展,2023,21(15):1730-1733.
[8] 张丽敏,聂培鹤,季雪莲,等. ERAS结合麻醉恢复室护理应用于腹腔镜胃癌根治术[J]. 潍坊医学院学报,2023,45(3):192-194.
[9] Kinoshita T, Sato R, Akimoto E, et al.Reduction in postoperative complications by robotic surgery: a case-control study of robotic versus conventional laparoscopic surgery for gastric cancer[J]. Surg Endosc, 2022, 36(3): 1989-1998.
[10] 王刚. 腹腔镜下胃癌根治术与传统开腹手术治疗进展期胃癌的效果[J]. 吉林医学,2023,44(5):1213-1215.
[11] Bracale U, Peltrini R, Corcione F."Impact of neoadjuvant therapy followed by laparoscopic radical gastrectomy with D2 lymph node dissection in Western population: a multi‐institutional propensity score matched study"—Authors' reply[J]. J Surg Oncol, 2022, 125(8): 1338-1339.
[12] Tian Y, Lin Y, Sun C, et al.Comparison of short-term efficacy and safety between total robotic and total 3D laparoscopic distal radical gastrectomy for gastric cancer in Enhanced Recovery After Surgery (ERAS) protocol: a propensity score matching study[J]. J Robot Surg, 2023, 17(3): 1151-1158.
[13] 薛然荣,孙明明,张云. 基于危害分析临界控制点联合故障模式和效应分析的手术室护理在腹腔镜胃癌根治术患者中的应用[J]. 肿瘤基础与临床,2023,36(6):534-537.
