Clinical experience of modified triangular anastomosis in total laparoscopic radical gastrectomy

doi:10.3877/cma.j.issn.1674-6899.2017.04.011

Abstract

Abstract:

Objective

To study the clinical effect of the treatment of patients with gastric cancer treated with laparoscopic distal gastrectomy for gastric cancer.

Methods

A total of 51 patients with gastric cancer who had been treated in our hospital for a period of time were randomly divided into control group and treatment group, there were 21 cases in treatment group and 30 cases in control group. The control group used traditional methods for distal assisted laparoscopic gastrectomy treatment; treatment group with triangular anastomosis totally laparoscopic distal gastrectomy for treatment.

Results

The treatment group of patients with gastric cancer operation time and postoperative hospitalization treatment time was shorter than the control group, the difference was significant (P< 0.05); only 1 cases of perioperative adverse events, fewer than 5cases in the control group, significant difference between groups (P<0.05) disease; before and after surgery pain VAS scores improved significantly higher than that in the control group, significant difference (P< 0.05).

Conclusions

The treatment of patients with gastric cancer by laparoscopic surgery with triangular anastomosis is a good way to reduce adverse events, to ensure the safety of surgery and shorten the treatment time.

Key words: Gastric cancer, Triangular anastomosis, Laparoscopic distal gastrectomy

Jinjun Ye, Le Xin, Hongwei Wang, Jidong Liu, Mingsheng Tang, Yukuang Yan. Clinical experience of modified triangular anastomosis in total laparoscopic radical gastrectomy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(04): 230-234.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2017.04.011

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2017/V10/I04/230

Figures/Tables 11

References 19

1	林密，黄昌明，郑朝辉，等. 全腹腔镜改良三角吻合技术在局部进展期远端胃癌中的应用[J]. 福建医科大学学报，2015，49(5): 288-293.
2	杨娜，黄昌明，林涛，等. 胃癌腹腔镜手术与开腹手术安全性及远期疗效比较的Meta分析[J/CD]. 消化肿瘤杂志(电子版), 2011, 3(3): 144-150.
3	蔡逊，张建新，马丹丹，等. 三角吻合技术在腹腔镜远端胃癌根治术中的应用[J]. 中国微创外科杂志，2014, 14(6): 494-497.
4	王宇翔，梁伟，朱志强，等. 全腔镜与腹腔镜辅助远端胃癌根治术安全性及近期疗效分析[J/CD]. 中华临床医师杂志(电子版), 2013, 7(20): 9360-9362.
5	Association JGC. Japanese classification of gastric carcinoma - 2nd english editionjapanese gastric cancer agastric cancer [J]. Gastric Cancer, 1999, 1(1): 10-24.
6	胡彦锋，余江，张策，等. 胃癌外科临床数据挖掘系统的构建与实现[J]. 中华胃肠外科杂志，2010, 13(7): 510-515.
7	Kitano S, Iso Y, Moriyama M, et al. Laparoscopy-assisted billroth I gastrectomy[J]. Surg Laparo Endo Per，1994，4(2): 146-148.
8	Huang C, Lin M, Chen Q, et al. A modified intracorporeal billroth-I anastomosis after laparoscopic distal gastrectomy for gastric cancer: a safe and feasible technique[J]. Annals of Surgical Oncology, 2015, 22(1): 247.
9	Chang-Ming H, Mi L, Jian-Xian L, et al. Comparision of modified and conventional delta-shaped gastroduodenostomy in totally laparoscopic surgery[J]. World Journal of Gastroenterology, 2014, 20(30): 10478-10485.
10	苏向前，杨宏，邢加迪. 腹腔镜胃癌外科的发展现状与思考[J]. 中华胃肠外科杂志，2012, 15(8): 773-775.
11	涂建成，方健，周亮，等. 三角吻合术在胃癌患者腹腔镜下远端胃切除术中的应用[J]. 临床和实验医学杂志，2015，14(17): 1458-1460.
12	汤兴华，刘雄，章宜兰，等. 腹腔镜辅助下远端胃癌D2根治术治疗进展期胃癌的疗效及安全性[J]. 中国肿瘤临床与康复，2015，22(6): 656-657.
13	Kim BS, Yook JH, Choi YB, et al. Comparison of early outcomes of intracorporeal and extracorporeal gastroduodenostomy after laparoscopic distal gastrectomy for gastric cancer[J]. J Laparoendosc Adv Surg Tech A, 2011, 21(5): 387-391.
14	Kinoshita T, Oshiro T, Ooshiro M, et al. Comparison of laparoscopy-assisted and total laparoscopic Billroth-I gastrectomy for gastric cancer: a report of short-term outcomes[J]. Surgical Endoscopy, 2011, 25(5): 1395-1401.
15	朱甲明，刘晶晶，文大成，等. 全腔镜下吻合技术在腹腔镜胃癌根治术中的应用[J]. 中华胃肠外科杂志，2013, 16(9): 881-884.
16	王宇翔，梁伟，朱志强，等. 全腔镜与腹腔镜辅助远端胃癌根治术安全性及近期疗效分析[J/CD]. 中华临床医师杂志(电子版), 2013, 7(20): 9360-9362.
17	曹钧，蔡逊，张建新. 三角吻合在全腹腔镜远端胃癌根治术中的应用[J]. 临床外科杂志，2013, 21(12): 920-922.
18	日本胃癌學會編．胃癌取极規約[M]．第14版，東京：金原出版，2010：1-55.
19	李松岩，宋林杰，那兴邦，等. 3D与2D腹腔镜远端胃癌根治Roux-en-Y吻合术临床对比研究[J/CD]. 中华腔镜外科杂志(电子版), 2017，10(3): 136-138.

组别	例数	手术时间(min)	术后住院时间(d)
对照组	30	135.28 ± 21.85	11.31 ± 2.59
治疗组	21	120.92 ± 14.15	8.10 ± 1.43
P值	?	<0.05	<0.05

组别	例数	手术时间(min)	术后住院时间(d)
对照组	30	135.28 ± 21.85	11.31 ± 2.59
治疗组	21	120.92 ± 14.15	8.10 ± 1.43
P值	?	<0.05	<0.05

组别	例数	恢复良好	发生并发症
对照组	30	25(83.3)	5(16.7)
治疗组	21	20(95.2)	1(4.8)

组别	例数	恢复良好	发生并发症
对照组	30	25(83.3)	5(16.7)
治疗组	21	20(95.2)	1(4.8)

组别	例数	术前	术后	P值
对照组	30	2.06 ± 1.04	4.89 ± 0.95	< 0.05
治疗组	21	2.01 ± 1.03	2.04 ± 0.82	< 0.05
P值	?	> 0.05	< 0.05	?

Please choose a citation manager

Content to export