Comparative study on the application of esophageal tubular stomach anastomosis and double-channel anastomosis in gastrointestinal reconstruction after laparoscopic proximal gastrectomy
Objective:To investigate the application value of double-channel anastomosis and esophageal tubular stomach anas-tomosis in the reconstruction of the digestive tract after proximal gastrectomy.Methods:Fifty patients who underwent laparoscopic proxi-mal gastrectomy from Jun.2021 to Jun.2023 were selected and divided into double-channel anastomosis group and tubular stomach anastomosis group according to the reconstruction method.The intraoperative conditions(operation time,number of anastomosis devices used,intraoperative blood loss,number of lymph nodes dissection),postoperative stress indicators,postoperative recovery(postoperative exhaust time,hospital stay),postoperative complications,postoperative 6-month gastroesophageal reflux,nutritional status and anemia status were compared between the two groups.Results:The operation time of the tubular stomach anastomosis group was shorter than that of the double-channel anastomosis group(P<0.05),and the number of anastomosis devices used was less(P<0.05).There were no significant differences in intraoperative blood loss,number of lymph nodes dissection,postoperative neutrophil count,postoperative C-reactive protein,postoperative ventilation time,feeding time,postoperative hospital stay,and postoperative complication rate between the two groups(P>0.05).At 6 months after operation,the severity of reflux esophagitis was lighter in the double-channel anastomosis group than that in the tubular stomach anastomosis group(P<0.05),and the BMI and albumin values were higher(P<0.05).Conclu-sions:Both esophageal tubular stomach anastomosis and double-channel anastomosis techniques demonstrate favorable safety and practi-cality in the reconstruction of digestive tract after proximal gastrectomy.The operation time of tubular stomach reconstruction is shorter,and fewer anastomosis devices are used.In contrast,double-channel anastomosis has better anti-reflux effect and nutritional status in the short term.
国家科技期刊平台
NSTL
万方数据
