Prognostic Analysis of Perioperative Indicators in Gastric Cancer Patients with Different Types of Perigastric Arteries
Objective To analyze the perioperative indicators and prognosis of gastric cancer patients with different types of perigastric arteries.Methods A retrospective analysis was conducted on the medical records of 68 patients with gastric cancer.All patients underwent accurate classification of the gastric artery using CT angiography(CTA)and three-dimensional re-construction measures before surgery.All patients underwent laparoscopic D2 radical gastrectomy for gastric cancer;Statistical a-nalysis of the impact of different types of perigastric arteries on perioperative outcomes and prognosis in gastric cancer patients.Results 68 patients were clearly classified by CTA,including 42 cases of type Ⅰ(61.76％),7 cases of type Ⅱ(10.29％),5 ca-ses of type Ⅲ(7.35％),6 cases of type Ⅳ(8.82％),3 cases of type Ⅴ(4.41％),3 cases of type Ⅵ(4.41％),and 2 cases of type Ⅶ(2.94％).Type Ⅰ patients were included in the control group,and type Ⅱ-Ⅵ patients were included in the variant group.There was no statistically significant difference in intraoperative bleeding,number of lymph node dissection,postoperative drainage volume,surgical and hospitalization time,and complications among patients with gastric cancer of different types of perigastric ar-teries(P＞0.05);The intraoperative vascular injury rate in type Ⅰ patients was lower than that in other types of patients,with a statistically significant difference(P＜0.05).The Kaplan Meier results showed that the 2-year survival rate of the mutation group[69.23％(18/26)]was comparable to that of the control group[83.33％(35/42)],with no statistically significant difference(P＞0.05).Conclusion Patients with variations in the gastric artery have a higher probability of intraoperative vascular dam-age,which should be highly valued in clinical practice.Before surgery,it is necessary to proficiently control the different types of gastric artery in gastric cancer patients,in order to ensure the refinement of surgery and minimize the risk of vascular damage.
万方数据
维普
