Clinical value and safety of total laparoscopic gastro-duodenal triangle anastomosis
10.3969/j.issn.1009-9905.2017.11.009
- VernacularTitle:全腹腔镜胃十二指肠三角吻合术的应用价值及安全性分析
- Author:
Zhen BU
1
;
Tong-Ling ZHANG
;
Yang-Long WANG
;
Xian-Jin TANG
;
Huan-Cheng XU
Author Information
1. 江苏省新沂市人民医院微创外科
- Keywords:
Laparoscopy;
Triangle anastomosis;
Distal gastric cancer radical;
Application value
- From:
Chinese Journal of Current Advances in General Surgery
2017;20(11):869-871,899
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To analyze the clinical value and safety of total laparoscopic gastro-duodenal triangle anastomosis in radical surgery of distal gastric cancer.Methods:Sixty patients with gastric cancer treated from May 2013 to August 2016 were selected as study subjects and randomly divided into experimental group and control group,with 30 cases in each group.The experimental group was given laparoscopic radical gastrectomy for gastro-duodenal anastomosis,while the control group was given laparoscopic auxiliary distal gastrectomy for radical gastrectomy.The clinical efficacy and safety of the two groups were compared.Results:Compared with the control group,the operation time of the experimental group was longer,the blood loss was less,the distal margin of the tumor was longer,the postoperative pain score was lower and the dosage of analgesics was less (P＜0.05);There was no significant difference in TNM stage and Lauren classification between the two groups(P＞0.05).The incidence of postoperative complications in the experimental group was 6.67％,which was lower than that in the control group(10.0％),but the difference was no Statistical significance (P＞0.05).Conclusion:Total laparoscopic distal gastric cancer Gastro-duodenal triangle anastomosis is effective and safe,and worthy of clinical application.
