Curative Effect of Laparoscopic Transabdominal-hiatal Approach Surgery in Elderly Patients with Siewert Type Ⅱ Adenocarcinoma of Esophageal-gastric Junction
Objective:To observe short-term curative effect of laparoscopic transabdominal-hiatal approach surgery in elderly patients with Siewert type Ⅱ adenocarcinoma of esophageal-gastric junction(AEG).Methods:A total of 134 elderly patients with Siewert type Ⅱ AEG in the hospital were retrospectively analyzed between September 2020 and June 2023.According to different surgical methods,they were divided into laparotomy group(82 cases,open radical total gastrectomy)and laparoscopic assistance group(52 cases,laparoscopic radical total gastrectomy).The general data,perioperative indexes(operation time,intraoperative blood loss,lower mediastinal lymph node dissection,number of positive lymph nodes),hemoglobin and serum albumin before surgery.Results:Compared with laparotomy group,operation time was longer in laparoscopic assistance group,intraoperative blood loss,postoperative exhaust time,postoperative defecation time,postoperative eating time,postoperative extubation time and hospitalization time were lower(P＜0.05).Before surgery,there was no significant difference in serum indexes between the two groups(P＞0.05).At 3 months after surgery,levels of hemoglobin and serum albumin were decreased in both groups,but which were increased again at 6 months after surgery(P＜0.05),and the difference between the two groups was not statistically significant(P＞0.05).Conclusion:Compared with laparotomy,although laparoscopic transabdominal-hiatal approach surgery has longer operation time,the postoperative recovery is faster in patients with Siewert type Ⅱ AEG.The two surgical methods have similar clinical effects in terms of postoperative complications and short-term curative effect.
LaparoscopeTransabdominal-hiatal approachSurgical treatmentAdenocarcinoma of esophageal-gastric junction
NETL
NSTL
万方数据
