Application of Overlap anastomosis and π anastomosis in totally laparo-scopic total gastrectomy
Aim:To compare the efficacy of Overlap anastomosis and π anastomosis in totally laparoscopic total gas-trectomy(TLTG).Methods:Totally 98 patients with gastric cancer receiving TLTG between February 2019 and February 2022 were retrospectively analyzed.According to esophagojejunal anastomosis methods,the patients were allocated into O-verlap anastomosis group(n=56)and π anastomosis group(n=42).The perioperative indicators(surgical time,anastomo-sis time,intraoperative blood loss,number of lymph node dissection,postoperative anal exhaust time,postoperative drainage tube removal time,postoperative hospital stay,distance from the upper tumor margin to the esophagotomy margin),anasto-motic-related complications(anastomotic bleeding,anastomotic stenosis and anastomotic leakage)and follow-up complications(anastomotic ulcer,dumping syndrome,reflux esophagitis,malnutrition),as well as the difference values of Patient-Generated Subjective Global Assessment(PG-SGA)scores and objective indicators of nutritional status(hemoglobin,albumin,total protein)before surgery and at 3 months after surgery were compared between the 2 groups.Results:The surgical time and anastomosis time in Overlap group were longer than those in π anastomosis group[(230.36±25.12)min vs(205.58±20.43)min,(43.22±6.15)min vs(27.45±5.36)min,P＜0.05].There were no statistical differences in the inci-dence rates of anastomotic-related complications or follow-up complications,the difference values of scores of PG-SGA,or the levels of objective indicators of nutritional status before surgery and at 3 months after surgery(P＞0.05).Conclusion:Overlap anastomosis and π anastomosis have their respective advantages during TLTG,while π anastomosis can shorten the surgical time and anastomosis time.
gastric cancertotally laparoscopic total gastrectomyOverlap anastomosisπ anastomosiscomplicationnutrition status
万方数据
维普
