The publication of quality control data for gastric cancer surgery promotes the improvement of gastric cancer surgery level:based on the analysis of quality control data for gastric cancer in Jiangsu Province,2020-2022
10.3781/j.issn.1000-7431.2024.2310-0573
- VernacularTitle:胃癌手术质量控制数据的公布推动胃癌手术水平的提高:基于2020-2022年江苏省胃癌质量控制数据分析
- Author:
Linjun WANG
1
;
Yiwen XIA
;
Zheng LI
;
Qingya LI
;
Diancai ZHANG
;
Hao XU
;
Li YANG
;
Jun SONG
;
Wenxian GUAN
;
Zekuan XU
Author Information
1. 南京医科大学第一附属医院胃肿瘤中心,江苏 南京 210029
- Keywords:
Gastric cancer;
Surgery;
Quality control;
Surgical quality
- From:
Tumor
2024;44(2):136-145
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To collect and analyze the quality control data of gastric cancer surgery in Jiangsu Province from 2020 to 2022,and study the role of publishing surgical quality control data in promoting the improvement of gastric cancer surgery of China. Methods:An online questionnaire was created and distributed to the members of Jiangsu Gastric Cancer Union(JSGCU).The questionnaire collected information including the basic situation of hospital,the diagnosis and treatment of early gastric cancer,advanced gastric cancer and metastatic gastric cancer,the digestive tract reconstruction,the surgical safety,the economic indicators,and so on. Results:The quality control data of gastric cancer surgery in Jiangsu Province from 2020 to 2022 were consistently collected and published.The data analysis results show that there was a gradual increase in the percent of patients with stage Ⅰ gastric cancer,reflecting the success efforts of early screening and diagnosis.Laparoscopic surgery showed a steady increase and became the mainstream approach for curative surgery of gastric cancer in Jiangsu Province.The percent of hospital with lymph node dissection≥30 was also increased.Different locations of gastric cancer exhibited specific patterns in the choice of anastomosis methods after curative surgery.The rate of grade 3 or higher complications in laparoscopic gastric cancer surgery was slightly lower than that in open surgery.For patients experiencing complications,their postoperative hospitalization duration and expenditure were significantly higher.Finally,there was a gradual increase in the proportion of hospital choosing to close the mesentery during gastric cancer surgery. Conclusion:The publication of the quality control data of gastric cancer surgery in Jiangsu Province has driven the improvement of gastric cancer surgery standards of China.
