Application of Different Gastrointestinal Anastomosis Devices in Laparoscopic Radical Gastric Cancer Surgery and Evaluation of the Impact on Related Indicators and Prognosis
Objective To investigate different gastrointestinal anastomosis devices in laparoscopic radical gastric cancer surgery and evaluation of the impact on related indicators and prognosis.Methods Retrospective analysis of 62 patients with gas-tric cancer for laparoscopic total gastrectomy were conducted.Among them,30 patients in the study group were treated with com-plete laparoscopic application of a linear cutting closure for esophageal jejunostomy,while 32 patients in the control group were treated with laparoscopic-assisted application of a circular anastomosis for esophageal jejunostomy,comparing the clinical efficacy and other differences between the 2 groups.Results The operative time,intraoperative bleeding,feeding time and time to exhaus-tion in the study group were significantly lower than those in the control group(P＜0.05);The total complication rate in the study group(10％)was significantly lower than that in the control group(31.3％)after surgery;There was no difference in the inflam-mation-related indexes between the 2 groups before surgery(P＞0.05),while the inflammation-related indexes in both groups in-creased after surgery compared with those before surgery,and the increase was more significant in the control group(P＜0.05).One year after surgery,the prognosis of the study group was better than that of the control group(P＜0.05).Conclusion The application of completely laparoscopic linear cutting closures to perform esophageal jejunostomy is more advantageous for patients undergoing total gastrectomy,which not only accelerates the recovery of patients,but also reduces the incidence of complications and inflammatory reactions,ultimately improving the prognosis,and is worthy of clinical promotion and application.
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