摘要
目的:评估腹腔镜远端胃癌根治术结合Uncut Roux-en-Y吻合术在胃癌(GC)患者中的临床应用价值。方法:选取监利市第二人民医院2021年5月—2024年5月收治的GC患者102例以随机数字表法分为两组。两组均接受腹腔镜远端胃癌根治术,观察组(n=51)予以Uncut Roux-en-Y吻合术,对照组(n=51)予以Roux-en-Y吻合术。比较两组手术及康复基础指标、营养状态、生活质量及并发症。结果:观察组消化道重建时间、手术时间较对照组短,排气时间较对照组早,术中出血量少于对照组(P<0.05);术后3个月,两组营养状态指标水平升高,且观察组较对照组高(P<0.05);术后3个月,两组癌症患者生命质量测定量表共性模块(FACT-G)评分升高,且观察组较对照组高(P<0.05);观察组并发症发生率较对照组低(P<0.05)。结论:腹腔镜远端胃癌根治术+Uncut Roux-en-Y吻合术可缩短消化道重建时间,改善GC患者营养状态及生活质量,减少并发症发生。
Objective:To evaluate the clinical application value of laparoscopic distal radical gastrectomy combined with Uncut Roux-en-Y anastomosis in patients with gastric cancer(GC).Method:A total of 102 GC patients admitted to the Second People's Hospital of Jianli City from May 2021 to May 2024 were selected and divided into two groups by random number table method.Both groups received laparoscopic distal radical gastrectomy,the observation group(n=51)was given Uncut Roux-en-Y anastomosis,and the control group(n=51)was given Roux-en-Y anastomosis.The basic indicators of surgery and rehabilitation,nutritional status,quality of life and complications of the two groups were compared.Result:The digestive tract reconstruction time and operation time of the observation group were shorter than those of the control group,the exhaust time was earlier than that of the control,and the intraoperative blood loss was less than that of the control group(P<0.05).Three months after surgery,the nutritional status indicators levels in both groups increased,and those in the observation group were higher than those in the control group(P<0.05).Three months after surgery,the functional assessment of cancer therapy-generic scale(FACT-G)scores of both groups increased,and that in the observation group was higher than that in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Laparoscopic distal radical gastrectomy+Uncut Roux-en-Y anastomosis can shorten the digestive tract reconstruction time,improve nutritional status and quality of life of GC patients,and reduce complications.
作者
王理军
WANG Lijun(Department of General Surgery,the Second People's Hospital of Jianli City,Jianli 433325,China)
出处
《中国医学创新》
2025年第23期19-22,共4页
Medical Innovation of China
作者简介
通信作者:王理军。
