腹腔镜全胃切除术后实施改良自牵引后离断食管空肠腔内吻合对胃癌患者的近远期应用效果分析

doi:10.3969/j.issn.1006-6233.2022.08.017

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Abstract Objective: To investigate the short-term and long-term clinical effect of modified self traction transection esophagojejunostomy in patients with gastric cancer after laparoscopic total gastrectomy.Methods: 96 patients with gastric cancer from January 2020 to February 2021 were randomly divided into 48 patients in the traditional group and 48 patients in the improved group. Patients in the traditional group were treated with traditional Overlap, and patients in the control group were treated with modified self traction and transection of esophagojejunostomy. The intraoperative and postoperative recovery of the two groups were recorded. The nutritional status and quality of life of the two groups were compared before and 1 year after the operation. The postoperative complications of the two groups were recorded. Result: The operation time and esophagojejunostomy time in the traditional group were significantly higher than those in the improved group (P<0.05), but there was no significant difference in intraoperative bleeding, lymph node dissection, first postoperative anal exhaust time, and hospital stay between the two groups (P>0.05); there was no significant difference in preoperative nutritional level between the two groups (P>0.05). The body weight, albumin, and prognostic nutritional index of the two groups one year after the operation were significantly higher than those before the operation. There was no significant difference in body weight, albumin, prognostic nutritional index, and the increase difference of each index between the two groups one year after operation (P>0.05). One year after the operation, the quality of life of the two groups was significantly better than that before the operation. At the same time, there was no significant difference between the two groups in the score one year after the operation, the difference in score increase, and the incidence of postoperative complications (P>0.05).Conclusion: Modified self-traction transected esophagojejunostomy is a safe and reliable anastomosis method, which significantly shortens the operation time, improves the postoperative nutritional status and quality of life of patients, and the short-term and long-term curative effect is satisfactory.

Key words： Laparoscopic total gastrectomy Gastric cancer Esophagojejunostomy Disconnect after self traction Nutritional status Quality of life

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	ZHAO Junkang
	ZHANG Qianjin

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ZHAO Junkang,ZHANG Qianjin. Analysis of Short-Term and Long-Term Effect of Modified Self-Traction Post-Dissection Esophageal-Jejunostomy after Laparoscopic Total Gastrectomy in Patients with Gastric Cancer[J]. HeBei Med, 2022, 28(8): 1316-1320.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2022.08.017 OR http://www.hbyxzzs.cn/EN/Y2022/V28/I8/1316

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