双类荷包加浆肌层间断缝合(徐氏三针法)包埋十二指肠对胃癌根治术患者术后并发症的影响

doi:10.3969/j.issn.1006-6233.2023.03.015

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Abstract Objective: To analyze the influence of double pouches and seromuscular layer discontinuous suture (Xu's three-needle method) embedding duodenum on postoperative complications of patients undergoing radical gastrectomy. Methods: A total of 108 patients who underwent radical gastrectomy in the First Affiliated Hospital of Anhui Medical University from January 2018 to March 2022 were selected retrospectively. According to the way of embedding duodenum, those who received intermittent suture of seromuscular layer were included in the control group (n=50), and those who received intermittent suture of two kinds of purse strings and seromuscular layer were included in the observation group (n=58). The operation conditions and postoperative complications of the two groups were compared, and the effects of two duodenal embedding methods on the operation process and safety were analyzed. Results: There was no statistical difference between the observation group and the control group in the total operation time and intraoperative blood loss (P>0.05). The treatment time and hospitalization expenses of duodenal stump in the observation group were lower than those in the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). There was no statistical difference in the incidence of postoperative non-surgical complications between the observation group and the control group (P>0.05). Clavien-Dindo grade of postoperative complications in observation group was lower than that in control group (P<0.05). Conclusion: Compared with simple discontinuous suture of seromuscular layer to embed duodenum, double purse string suture can reduce the incidence of postoperative complications without affecting the surgical process, thus significantly reducing the hospitalization expenses of patients.

Key words： Double purse string suture Intermittent suture of muscular layer Duodenum Radical gastrectomy for gastric cancer Complication

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.03.015 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I3/427

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