Objective:To explore the clinical application value of laparoscopy-assisted radical proximal gastrectomy with double-tract reconstruction.Methods:The retrospective study was conducted to analyze the clinical data of 70 patients with early upper gastric cancer who underwent laparoscopic-assisted radical proximal gastrectomy during the period from Feb.2019 to Feb.2023.According to the different methods of digestive tract reconstruction,there were two groups:esophagogastrostomy group(n = 31)and double-tract reconstruction group(n = 39).The operation time,digestive tract reconstruction time,bleeding volume,postoperative recovery and occurrence of reflux esophagitis of the two groups were observed.Results:All operations were successfully completed.The double-tract reconstruction group had longer time of surgery and digestive tract reconstruction compared to the esophagogastrostomy group,and the difference was statistically significant.There were no statistically significant differences between the two groups in terms of intraoperative blood loss,postoperative ventilation time,number of lymph node dissection,postoperative hospital stay and overall incidence of compli-cations.The incidence of postoperative reflux esophagitis was significantly lower in the double-tract reconstruction group than that in the esophagogastrostomy group.Conclusions:Laparoscopic-assisted proximal gastrectomy with double-tract reconstruction can reduce reflux esophagitis and is worthy of clinical promotion.
维普
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