不同消化道吻合器械在腹腔镜下胃癌根治术中的应用效果及对炎性指标和预后的影响  

Application of Different Gastrointestinal Anastomosis Devices in Laparoscopic Radical Gastric Cancer Surgery and Evaluation of the Impact on Related Indicators and Prognosis

作　　者：涂云飞[1] 朱峰 孙建 王哲[1] 乔泽强[1] TU Yunfei;ZHU Feng;SUN Jian(Affiliated Hospital of Traditional Chinese Medicine,Nanyang,473000)

机构地区：[1]南阳医学高等专科学校附属中医院,473000

出　　处：《实用癌症杂志》2024年第1期126-128,共3页The Practical Journal of Cancer

摘　　要：目的探讨不同消化道吻合器械在腹腔镜下胃癌根治术中的应用价值及对炎性指标和预后的影响。方法回顾性选取62例行腹腔镜下全胃切除术的胃癌患者,其中研究组患者30例采用完全腹腔镜下应用直线切割闭合器行食管空肠吻合治疗,而对照组患者32例则采用腹腔镜辅助下应用圆形吻合器行食管空肠吻合治疗,比较2组患者的临床疗效等差异。结果研究组的手术时间、术中出血量等均低于对照组(P<0.05);术后研究组的并发症总发生率(10.0%)显著低于对照组(31.3%)。术前2组的炎性相关指标比较无差异(P>0.05),而术后2组的炎性相关指标均较术前升高,且对照组升高更为显著(P<0.05)。术后1年,研究组的预后情况优于对照组(P<0.05)。结论直线切割闭合器应用于食管空肠吻合对于行全胃切除术的患者来说更有优势,其不仅可加快患者的康复速度,同时可降低并发症发生率及炎性反应,最终改善预后,值得临床推广应用。Objective To investigate different gastrointestinal anastomosis devices in laparoscopic radical gastric cancer surgery and evaluation of the impact on related indicators and prognosis.Methods Retrospective analysis of 62 patients with gastric cancer for laparoscopic total gastrectomy were conducted.Among them,30 patients in the study group were treated with complete laparoscopic application of a linear cutting closure for esophageal jejunostomy,while 32 patients in the control group were treated with laparoscopic-assisted application of a circular anastomosis for esophageal jejunostomy,comparing the clinical efficacy and other differences between the 2 groups.Results The operative time,intraoperative bleeding,feeding time and time to exhaustion in the study group were significantly lower than those in the control group(P<0.05);The total complication rate in the study group(10%)was significantly lower than that in the control group(31.3%)after surgery;There was no difference in the inflammation-related indexes between the 2 groups before surgery(P>0.05),while the inflammation-related indexes in both groups increased after surgery compared with those before surgery,and the increase was more significant in the control group(P<0.05).One year after surgery,the prognosis of the study group was better than that of the control group(P<0.05).Conclusion The application of completely laparoscopic linear cutting closures to perform esophageal jejunostomy is more advantageous for patients undergoing total gastrectomy,which not only accelerates the recovery of patients,but also reduces the incidence of complications and inflammatory reactions,ultimately improving the prognosis,and is worthy of clinical promotion and application.

关 键 词：圆形吻合器 直线切割闭合器 食管空肠吻合 全胃切除术 疗效 预后 

分 类 号：R735.2[医药卫生—肿瘤]