腹腔镜下食管空肠π形吻合在根治性全胃切除术中的临床应用  

Clinical application of laparoscopicπ-shaped anastomosis of esophago-jejunum in radical total gastrectomy

作　　者：陈志伟 段彦鸿 CHEN Zhiwei;DUAN Yanhong(Department of Surgery,the People's Hospital of Yujiang District in Yingtan City,Yingtan City,Jiangxi Province,335200,China)

机构地区：[1]江西省鹰潭市余江区人民医院外三科,江西鹰潭335200

出　　处：《蛇志》2024年第2期210-212,253,共4页Journal of Snake

摘　　要：目的探讨腹腔镜下食管空肠π形吻合在根治性全胃切除术中的应用效果。方法选取2020年5月至2023年5月我院收治的82例胃癌患者为研究对象,按随机数字表法分为对照组和观察组,每组41例。对照组术中行食管空肠功能性端端吻合,观察组术中行食管空肠π形吻合。比较两组患者的手术情况、术后恢复情况、疼痛评分、生活质量及并发症。结果观察组的手术时间、术中吻合时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(均P<0.05)。观察组术后排气时间、进食时间及住院时间均短于对照组,差异均有统计学意义(均P<0.05)。观察组在术后1、3 d时的疼痛评分均低于对照组,差异均有统计学意义(均P<0.05)。观察组术后生理、心理、社会及环境领域方面的评分均高于对照组,差异均有统计学意义(均P<0.05)。两组的并发症比较,差异无统计学意义(P>0.05)。结论腹腔镜下食管空肠π形吻合在根治性全胃切除术中的应用效果更佳,可缩短手术时间,术后恢复快,安全性高。Objective To investigate the effect of laparoscopicπ-shaped anastomosis of esophago-jejunum in radical total gastrectomy.Methods 82 patients with gastric cancer of our hospital from May 2020 to May 2023 were selected,who were divided into control group and observation group according to random number table method,with 41 cases in each group.Functional end-to-end esophago-jejunal anastomosis was performed in the control group,and esophago-jejunalπ-shaped anastomosis was performed in the observation group.The surgical status,postoperative recovery,pain score,quality of life and complications were compared between the two groups.Results The operative time and intraoperative anastomosis time in the observation group were shorter than those in the control group,and the intraoperative blood loss less than in control group,the differences were statistically significant(all P<0.05).The postoperative exhaust time,feeding time and hospitalization time of the observation group were shorter than those of the control group,the differences were statistically significant(all P<0.05).The pain scores of observation group were lower than those of control group at 1 day and 3 days after surgery,the differences were statistically significant(all P<0.05).The scores of physiological,psychological,social and environmental fields in the observation group were higher than that of control group,the differences were statistically significant(all P<0.05).There was no significant difference in complications between the two groups(P>0.05).Conclusion Esophago-jejunalπ-shaped anastomosis under laparoscopy is more effective in radical total gastrectomy,which can shorten the operation time,accelerate the postoperative exhaust and feeding,improve the quality of life,and is safe and reliable.

关 键 词：胃癌 根治性全胃切除术 食管空肠π形吻合 食管空肠功能性端端吻合 并发症 

分 类 号：R6565.61[医药卫生—外科学]