腹腔镜胃癌术后不同消化道重建方法的临床分析  

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

作　　者：郑志华[1] 黄文场[1] 苏亦斌[1] 陈国宝[1] 刘江睿 

机构地区：[1]福建省泉州市第一医院城东新院普外科,泉州362000

出　　处：《外科研究与新技术》2017年第2期82-84,共3页Surgical Research and New Technique

摘　　要：目的分析腹腔镜胃癌术后不同消化道重建方法的临床效果。方法回顾性分析82例腹腔镜胃癌手术的临床资料,观察组45例,采取空肠间置;对照组37例,采取食管残胃吻合。对比两组的手术情况、手术相关并发症及术后血清白蛋白、体质量改善情况。结果两组手术时间、术中出血量、术后吻合口漏和吻合口狭窄发生率均无差异;但在观察组,食管反流率显著小于对照组(P<0.05),术后血清白蛋白、体质量改善程度大于对照组(P<0.05)。结论空肠间置作为腹腔镜胃癌术后消化道重建方式,并发症发生少,利于改善营养状态、体质量,有临床借鉴意义。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.

关 键 词：腹腔镜 胃癌手术 消化道重建 空肠间置 食管残胃吻合 

分 类 号：R735.2[医药卫生—肿瘤]