不同食管-空肠吻合口加固方法在腹腔镜辅助全胃切除术中的应用效果  

Application Effect of Different Esophagojejunal Anastomotic Reinforcement Methods in Laparoscopic Assisted Total Gastrectomy

作　　者：侯洪伟 王凤力[1] 闫永鑫[1] HOU Hongwei;WANG Fengli;YAN Yongxin(Lianyungang First People's Hospital,Lianyungang 222000,China;不详)

机构地区：[1]连云港市第一人民医院,江苏连云港222000

出　　处：《中外医学研究》2023年第22期17-20,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：连云港市第一人民医院博士科研启动基金项目(BS202010)。

摘　　要：目的:对比不同食管-空肠吻合口加固方法在腹腔镜辅助全胃切除术中的应用效果。方法:选取2020年1月-2022年11月连云港市第一人民医院收治的100例行腹腔镜辅助全胃切除术的胃癌患者。根据随机数表法将其分为乙组(n=50)和甲组(n=50)。两组均行腹腔镜辅助全胃切除术,甲组采用倒刺线连续加固食管-空肠吻合口,乙组采用可吸收抗菌微乔线间断全层加固食管-空肠吻合口。比较两组围手术期指标,术后恢复情况及并发症。结果:甲组手术时间、吻合口加固时间均短于乙组,差异有统计学意义(P<0.05)。两组肛门排气时间、胃管拔除时间、住院时间比较,差异无统计学意义(P>0.05)。甲组吻合口出血发生率低于乙组,差异有统计学意义(P<0.05),两组吻合口瘘、切口感染、吻合口狭窄发生率比较,差异无统计学意义(P>0.05)。结论:倒刺线连续加固食管-空肠吻合口,能够缩短吻合口加固时间和手术时间,降低吻合口出血发生率。Objective:To compare the application effect of different esophagojejunal anastomotic reinforcement methods in laparoscopic assisted total gastrectomy.Method:A total of 100 gastric cancer patients undergoing laparoscopic assisted total gastrectomy treated in Lianyungang First People's Hospital from January 2020 to November 2022 were selected.They were divided into group B(n=50)and group A(n=50)according to random number table method.Laparoscopic assisted total gastrectomy was performed in both groups.The esophagojejunal anastomosis was continuously reinforced with barb wire in group A,and the esophagojejunal anastomosis was intermittently full layer strengthened with absorbable antibacterial micro-Joe wire in group B.Perioperative indexes,postoperative recovery condition and complications were compared between the two groups.Result:The operation time and anastomotic reinforcement time of group A were shorter than those of group B,the differences were statistically significant(P<0.05).There were no significant differences in anal exhaust time,gastric tube removal time and hospital stay between the two groups(P>0.05).The incidence of anastomotic hemorrhage in group A was lower than that in group B,and the difference was statistically significant(P<0.05).There were no statistically significant differences in the incidences of anastomotic fistula,incision infection and anastomotic stenosis between the two groups(P>0.05).Conclusion:Continuous reinforcement of esophagojejunal anastomosis with barb wire can shorten the anastomotic reinforcement time and operation time,and reduce the incidence of anastomotic bleeding.

关 键 词：胃癌 腹腔镜 全胃切除术 倒刺线 食管-空肠吻合口 

分 类 号：R735.2[医药卫生—肿瘤]