A comparison of 3D and 2D assisted Roux-en-Y anastomosis of laparoscopic distal gastrectomy for gastric cancer

doi:10.3877/cma.j.issn.1674-6899.2017.03.003

Abstract

Abstract:

Objective

To compare the effect of 3D with 2D assisted Roux-en-Y anastomosis of distal gastrectomy for gastric cancer.

Methods

Clinical data of 135 cases of gastric cancer which received laparoscopic distal gastrectomy from Dec. 2014 to Dec. 2016 were reviewed. Observation group 65 cases received delta-shaped anastomosis and control group 70 cases received BillrothⅠanastomosis.

Results

There were no difference in basic characteristics sucn as age and sex(P> 0.05). The operation time of the observation group was (212.4 ± 40.2)min, control group was (244.6 ± 30.1)min(P< 0.001); Time for taking liquid food of the observation group was (43.8 ± 5.3)h, (55.1 ± 7.5)h for control group (P= 0.019); The blood loss of observation group was (47.9 ± 11.2)ml, (83.4 ± 15.3)ml for control group (P< 0.001); The first leaving bed room of observation group was(1.01 ± 0.42)d, and (1.76 ± 0.39)d for control group(P= 0.026); The hospitalization time of observation group was (7.6 ±1.7)d, and (10.4 ± 1.9)d for control group (P= 0.032); The harvested lymph nodes of observation group were (34.7 ± 8.2), and (24.2 ± 8.1)for control group (P= 0.083). There is no significant difference in postoperative complications.

Conclusions

3D laparoscopic distal gastric cancer with D2 radical surgery is more feasible and safer combined with 2D, quick recovery and good short-term clinical effect.

Key words: 3D laparoscopic, Gastric cancer, Roux-en-Y________________

Songyan Li, Linjie Song, Xingbang Na, Hongliang Zhang, Yuxuan Li, Zilong Hu, Yu Yang, Xiaohui Du. A comparison of 3D and 2D assisted Roux-en-Y anastomosis of laparoscopic distal gastrectomy for gastric cancer[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(03): 136-138.

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References 8

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组别	例数	性别(男性/女性)(例)	年龄(岁， ±s)	体质量指数( ±s)	T分期(例)
组别	例数	性别(男性/女性)(例)	年龄(岁， ±s)	体质量指数( ±s)	T2期	T3期	T4期
观察组	65	50/15	64.6 ± 5.3	23.4 ± 2.2	17	34	14
对照组	70	53/17	65.0 ± 4.4	23.2 ± 2.8	18	40	12
P值	?	0.909	≥ 1.000	0.938	0.968	0.695	0.649

组别	例数	性别(男性/女性)(例)	年龄(岁， ±s)	体质量指数( ±s)	T分期(例)
组别	例数	性别(男性/女性)(例)	年龄(岁， ±s)	体质量指数( ±s)	T2期	T3期	T4期
观察组	65	50/15	64.6 ± 5.3	23.4 ± 2.2	17	34	14
对照组	70	53/17	65.0 ± 4.4	23.2 ± 2.8	18	40	12
P值	?	0.909	≥ 1.000	0.938	0.968	0.695	0.649

组别	例数	手术时间(min， ±s)	术中出血量(ml， ±s)	术后下床时间(d， ±s)	进流食时间(h， ±s)	住院时间(d， ±s)	淋巴结清扫数(枚， ±s)	术后并发症(例)
组别	例数	手术时间(min， ±s)	术中出血量(ml， ±s)	术后下床时间(d， ±s)	进流食时间(h， ±s)	住院时间(d， ±s)	淋巴结清扫数(枚， ±s)	十二指肠残端瘘	吻合口瘘	切口感染
观察组	65	212.4 ± 40.2	47.9 ± 11.2	1.01 ± 0.42	43.8 ± 5.3	7.6 ± 1.7	34.7 ± 8.2	1	0	1
对照组	70	244.6 ± 30.1	83.4 ± 15.3	1.76 ± 0.39	55.1 ± 7.5	10.4 ± 1.9	24.2 ± 8.1	1	1	0
P值	?	≤ 0.001	≤ 0.001	0.026	0.019	0.032	0.083	0.958

组别	例数	手术时间(min， ±s)	术中出血量(ml， ±s)	术后下床时间(d， ±s)	进流食时间(h， ±s)	住院时间(d， ±s)	淋巴结清扫数(枚， ±s)	术后并发症(例)
组别	例数	手术时间(min， ±s)	术中出血量(ml， ±s)	术后下床时间(d， ±s)	进流食时间(h， ±s)	住院时间(d， ±s)	淋巴结清扫数(枚， ±s)	十二指肠残端瘘	吻合口瘘	切口感染
观察组	65	212.4 ± 40.2	47.9 ± 11.2	1.01 ± 0.42	43.8 ± 5.3	7.6 ± 1.7	34.7 ± 8.2	1	0	1
对照组	70	244.6 ± 30.1	83.4 ± 15.3	1.76 ± 0.39	55.1 ± 7.5	10.4 ± 1.9	24.2 ± 8.1	1	1	0
P值	?	≤ 0.001	≤ 0.001	0.026	0.019	0.032	0.083	0.958

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