全腹腔镜胃十二指肠三角吻合术的应用价值及安全性分析

摘要

目的:分析全腹腔镜胃癌根治胃十二指肠三角吻合术的应用价值及安全性.方法:选取2013年5月—2016年8月接受治疗的胃癌患者60例为研究对象,随机分为实验组和对照组,每组各30例.实验组给予全腹腔镜远端胃癌根治胃十二指肠三角吻合术,对照组给予腹腔镜辅助远端胃癌根治常规吻合术,比较两组患者的临床疗效及安全性.结果:与对照组相比,实验组手术时间较长,术中出血量较少,肿瘤远端切缘较长,术后疼痛评分较低,止痛剂使用量少(P＜0.05);两组患者的TNM分期及Lauren分型差异无统计学意义(P＞0.05);实验组术后并发症发生率为6.67％,低于对照组术的10.00％,但差异无统计学意义(P＞0.05).结论:完全腹腔镜远端胃癌根治胃十二指肠三角吻合术的临床操作安全,吻合效果肯定,值得临床推广应用.%Objectives:To analyze the clinical value and safety of total laparoscopic gastro-duodenal triangle anastomosis in radical surgery of distal gastric cancer.Methods:Sixty patients with gastric cancer treated from May 2013 to August 2016 were selected as study subjects and randomly divided into experimental group and control group,with 30 cases in each group.The experimental group was given laparoscopic radical gastrectomy for gastro-duodenal anastomosis,while the control group was given laparoscopic auxiliary distal gastrectomy for radical gastrectomy.The clinical efficacy and safety of the two groups were compared.Results:Compared with the control group,the operation time of the experimental group was longer,the blood loss was less,the distal margin of the tumor was longer,the postoperative pain score was lower and the dosage of analgesics was less (P＜0.05);There was no significant difference in TNM stage and Lauren classification between the two groups(P＞0.05).The incidence of postoperative complications in the experimental group was 6.67％,which was lower than that in the control group(10.0％),but the difference was no Statistical significance (P＞0.05).Conclusion:Total laparoscopic distal gastric cancer Gastro-duodenal triangle anastomosis is effective and safe,and worthy of clinical application.