Application of Roux-en-Y anastomosis through small incision in laparoscopic radical gastrectomy for gastric cancer
10.3760/cma.j.cn431274-20230903-00212
- VernacularTitle:经小切口Roux-en-Y吻合在腹腔镜远端胃癌根治术中的应用研究
- Author:
Fang WU
1
;
Xiao ZHANG
;
Zhenyuan QIAN
;
Xufan CAI
;
Jianzhang WU
;
Ji XU
;
Zaiyuan YE
Author Information
1. 浙江省人民医院(杭州医学院附属人民医院)普通外科胃肠胰外科，杭州 310014
- Keywords:
Stomach neoplasms;
Laparoscopy;
Anastomosis, Roux-en-Y
- From:
Journal of Chinese Physician
2023;25(10):1453-1457
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and therapeutic effect of Roux-en-Y anastomosis through a small incision in laparoscopic distal gastrectomy for gastric cancer.Methods:A retrospective analysis was conducted on the clinical data of 34 patients who underwent laparoscopic distal gastrectomy for gastric cancer through Roux-en-Y anastomosis through small incisions in the Gastrointestinal and Pancreatic Surgery Department of the Zhejiang Provincial People′s Hospital from August 2022 to May 2023.Results:Among the 34 patients, there were 27 males and 7 females, aged (63.6±14.6)years old. All cases underwent surgery successfully and there were no cases of conversion to open surgery. The reconstruction time of the digestive tract was (30.74±3.29)minutes, the intraoperative bleeding volume was (60.29±29.59)ml, the intraoperative lymph nodes were cleaned (32.00±11.00), the incision length of the specimen was (5.88±0.98)cm, the postoperative exhaust time was (1.88±0.73)days, and the postoperative hospitalization time was (11.94±3.87)days. There were no postoperative cases of anastomotic leakage, anastomotic stenosis, bleeding, or unplanned reoperation in patients. After a postoperative follow-up of 3-12 months, there were no recurrence or death cases, and no postoperative reflux cases during the follow-up period.Conclusions:Laparoscopic distal gastrectomy with Roux-en-Y anastomosis through a small incision can effectively reduce postoperative complications, especially the occurrence of postoperative reflux. In addition, this surgical procedure can simplify the surgical steps, shorten the surgical time, promote postoperative recovery, and improve postoperative quality of life.
