Application of Continuous Full-Thickness Reinforcement Suture Duodenal Stump Protocol in Radical Gastric Cancer Surgery and Analysis of Survival Quality
FENG Shusen, ZHANG Dongcheng, GUO Qi
Ya'an People's Hospital/West China Hospital of Sichuan University Ya'an Hospital, Sichuan Ya'an 625000, China
Abstract：Objective: To investigate the surgical effect of continuous full-thickness reinforcement and suture of duodenal stump in Bi-type radical gastrectomy for gastric cancer and its effect on postoperative quality of life. Methods: A retrospective research plan was adopted, and 106 gastric cancer patients who were surgically treated in our hospital from March 2017 to June 2021 were selected for study. According to whether the patients adopted continuous full-thickness reinforcement and suture of duodenal stump during the operation, they were divided into studies. 60 cases in the group (Bi II radical operation for gastric cancer + continuous full-thickness reinforcement and suture of duodenal stump), 46 cases in the control group (Bi II radical operation for gastric cancer + conventional purse-string reinforcement and suture of duodenal stump or no reinforcement) suture), and the differences in surgical process indicators, gastrointestinal Visick classification, postoperative recovery, patient quality of life scores and surgical complications were compared between the two groups. Results: The data of operation time, digestive tract reconstruction time, operation bleeding, first postoperative anal exhaust time, first postoperative feeding time, and hospitalization time were statistically analyzed and compared. There was no significant difference between the study group and the control group (P>0.05). There was no significant difference in the distribution of Visick grading between the study group and the control group (P>0.05). The incidence of surgical complications in the study group was 8.33% lower than that in the control group (28.26%), and the difference was statistically significant (P<0.05). The score of nausea and vomiting in the study group was lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion: The use of continuous full-thickness reinforcement and suture of duodenal stump in Bi-type radical gastrectomy for gastric cancer is beneficial to reduce the surgical complication rate and improve the survival quality of patients after surgery to a certain extent.
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2023, Vol. 29 
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