摘要
目的:分析Uncut Roux-en-Y与B-Ⅱ+Braun 2种吻合方式在全腹腔镜远端胃癌根治术中消化道重建效果的差异。方法:选取2015年6月—2016年12月收治的胃癌患者88例,以随机数字表法分为观察组和对照组各44例,两组患者均行全腹腔镜远端胃癌根治术,观察组选择Uncut Roux-en-Y吻合,对照组选择B-Ⅱ+Braun吻合。比较两组患者围术期情况、术中出血情况及术后并发症发生情况。结果:两组术中出血量、手术时间、首次进食时间、住院时间比较差异无统计学意义(P>0.05),观察组肠道恢复时间(肠鸣音4~5次/min)、术后首次排气时间均显著低于对照组(P<0.05);两组吻合口瘘、创面感染、胃瘫、倾倒综合征发生率差异无统计学意义(P>0.05),但观察组术后小肠梗阻、食管反流发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:Uncut Roux-en-Y与B-Ⅱ+Braun 2种吻合方式在全腹腔镜远端胃癌根治术中消化道重建效果良好,Uncut Roux-en-Y吻合方式患者术后功能恢复快,食管反流发生少,值得在胃癌远端切除中推荐使用。
Objective:To analyze the whole digestive tract reconstruction effect of Uncut Roux en-Y and B-Ⅱ+Braun anastomosis in laparoscopic distal gastric cancer radical differences.Methods:88 cases of patients with gastric cancer treated in our hospital from June 2015 to December 2016 were selected as research objects.which were divided into observation group and control group by the method of random Numbers,and 44 cases in each group.Two groups of patients were performed laparoscopic distal gastric cancer radical prostatectomy.The mode of gastrointestinal anastomosis,the observation group choose Uncut Roux en-Y,group B-Ⅱ+Braun.Compare two groups of patients with perioperative,intraoperative bleeding and postoperative complications.Results:Two groups of patients with perioperative operation time,length of hospital stay was no significant difference(P>0.05).Observation group of patients with intestinal recovery time,postoperative exhaust time were significantly lower than the control group(P<0.05).Two groups of patients with intraoperative bleeding and postoperative complications,there was no significant difference(P>0.05),but the observation group of patients with postoperative esophageal reflux significantly lower than the control group,the difference compared with statistical significance(P<0.05).Conclusion:Uncut Roux-en-X and B-Ⅱ+Y Braun anastomosis in whole digestive tract reconstruction in laparoscopic distal gastric cancer radical effect is good,Uncut Roux en-Y way anastomosis in patients with postoperative functional recovery fast,esophageal reflux occurs,less worth in the distal gastric cancer excision is recommended to use.
作者
任宁
刘现立
卫利民
崔剑锋
REN Ning;LIU Xian-li;WEI Li-min;CUI Jian-feng(Department of Thyroid Breast Tumor Surgery,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)
出处
《中国现代普通外科进展》
CAS
2020年第3期197-199,206,共4页
Chinese Journal of Current Advances in General Surgery
