改良BillrothⅡ+Brown吻合与U-RY吻合在腹腔镜远端胃癌根治术中的应用效果比较  

Comparison of the Application of Improved BillrothⅡ+Brown Anastomosis and U-RY Anastomosis in Laparoscopic Distal Gastrectomy for Gastric Cancer

作　　者：任乐华 REN Lehua(Department of Surgical Oncology,Tumor Hospital Xinyang,Xinyang 464000,China)

机构地区：[1]信阳市肿瘤医院肿瘤外科,河南信阳464000

出　　处：《河南医学研究》2024年第18期3384-3387,共4页Henan Medical Research

摘　　要：目的对比改良BillrothⅡ+Brown吻合与U-RY吻合在腹腔镜远端胃癌根治术中的临床效果。方法回顾性分析2022年3月至2023年4月于信阳市肿瘤医院肿瘤外科行腹腔镜远端胃癌根治术的123例胃癌患者临床资料,根据吻合术式分为两组,将61例采用U-RY吻合术的患者归为U-RY吻合组,62例采用改良BillrothⅡ+Brown吻合术的患者纳入改良BillrothⅡ+Brown吻合组。比较两组围手术期指标、胃肠功能恢复情况、复发率及并发症发生情况。结果改良BillrothⅡ+Brown吻合组住院时间及肠鸣音恢复时间较U-RY吻合组短(P<0.05)。两组患者术后1 a复发率比较,差异无统计学意义(P>0.05)。改良BillrothⅡ+Brown吻合组术后远期并发症发生率低于U-RY吻合组(P<0.05)。结论与U-RY吻合术相比,腹腔镜远端胃癌根治术中采用改良BillrothⅡ+Brown吻合的效果更好,可缩短患者住院时间及肠鸣音恢复时间,降低远期并发症发生风险。Objective To compare the clinical effects of improved BillrothⅡ+Brown anastomosis and U-RY anastomosis in laparoscopic distal gastrectomy for gastric cancer.Methods A retrospective analysis was conducted on the clinical data of 123 gastric cancer patients who underwent laparoscopic distal gastrectomy at Department of Surgical Oncology of Tumor Hospital Xinyang from March 2022 to April 2023.According to types of anastomosis,61 patients who underwent U-RY anastomosis were divided into two groups,and 62 patients who underwent modified BillrothⅡ+Brown anastomosis were included in the modified BillrothⅡ+Brown anastomosis group.Perioperative indicators,gastrointestinal function recovery,recurrence rate and incidence of complications were compared between two groups.Results The hospitalization time and bowel sound recovery time of the improved BillrothⅡ+Brown anastomosis group were shorter than those of the U-RY anastomosis group(P<0.05).There was no significant difference in the one-year postoperative recurrence rate between the two groups of patients(P>0.05).The incidence of long-term postoperative complications in the improved BillrothⅡ+Brown anastomosis group was lower than that in the U-RY anastomosis group(P<0.05).Conclusion Compared with U-RY anastomosis,the use of modified BillrothⅡ+Brown anastomosis in laparoscopic distal gastrectomy for gastric cancer has a better effect.It can shorten the hospital stay and bowel sound recovery time of patients,and reduce the risk of long-term complications.

关 键 词：胃癌 改良BillrothⅡ+Brown吻合 U-RY吻合 腹腔镜远端胃癌根治术 

分 类 号：R735.2[医药卫生—肿瘤]