Application effect of hand-sewn esophagojejunostomy in totally laparoscopic total gastrectomy for gastric cancer
- VernacularTitle:完全腹腔镜胃癌全胃切除术联合食管-空肠手工吻合的应用效果
- Author:
Sheng-hui MA
1
;
Jia REN
;
Xin WANG
;
Xiu-xia SHI
;
Shu-yun CAI
Author Information
- Publication Type:Journal Article
- Keywords: gastric cancer; hand-sewn esophagojejunostomy; totally laparoscopic total gastrectomy; application effect
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(5):431-434
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the clinical effect of totally laparoscopic total gastrectomy combined with hand-sewn esophagojejunos-tomy for gastric cancer.Methods Ninety cases of gastric cancer patients were seleted,of which 45 cases undergoing Roux-en-Y esophagoje-junostomy for digestive tract reconstruction were set as the control group,while 45 cases undergoing hand-sewn esophagojejunostomy for digestive tract reconstruction were set as the observation group.Patients in the control group underwent laparoscopic-assisted total gastrectomy combined with Roux-en-Y esophagojejunostomy to reconstruct digestive tract,while patients in the observation group underwent totally laparoscopic total gastrectomy combined with hand-sewn esophagojejunostomy to reconstruct digestive tract.The perioperative indicators and complications of patients in the two groups were compared.Results The surgical time,time of esophagojejunostomy,and time to get out of bed after surgery of patients in the observation group were significantly shorter than those in the control group(P<0.05),the pain score 24 hours after surgery was significantly lower than that in the control group(P<0.05).There was no statistically significant difference between the two groups in terms of the incidence of complications or Clavien-Dindo grading(P>0.05).Conclusion Hand-sewn esophagojejunostomy for digestive tract reconstruction has a good clinical effect in gastric cancer during totally laparoscopic total gastrectomy.It can shorten the surgical time and time of esophagojejunostomy,reduce postoperative pain,and accelerate postoperative recovery,whose safety is comparable to Roux-en-Y esophagojejunostomy.
