Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction
Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction
Objective To analyze the short-term clinical efficacy and safety of total laparoscopic π-shaped esophageal jeju-nostomy and laparoscopic assisted Roux-en-Y esophago-jejunostomy for adenocarcinoma of the esophagogastric junction.Methods The clinical and pathological data of 72 patients with adenocarcinoma of the esophagogastric junction treated in the First Affiliated Hospital of Bengbu Medical University from June 2020 to July 2022 were collected.All patients under-went laparoscopic total gastrectomy+D2 lymphadenectomy,in whom 38 patients underwent total laparoscopic radical resec-tion of cardiac cancer+π-shaped esophageal jejunostomy and 34 patients underwent laparoscopic-assisted radical resection of cardiac cancer+Roux-en-Y esophago-jejunostomy.The safety and effects on stress response indicators of different surgi-cal methods were analyzed.Results The mean operation time of the total endoscopy group was longer than that of the lapa-roscopic-assisted group and the length of the incision was significantly shorter than that in the laparoscopic-assisted group(P＜0.001).In terms of intraoperative bleeding,the amount of intraoperative bleeding in the total endoscopy group(130.26±23.54)mL was significantly lower than that in the laparoscopic group[(167.21±28.53)mL,t=6.017,P＜0.001].The first postoperative exhaust time in the total endoscopy group was significantly lower than that in the laparo-scopic-assisted group(P=0.003).There were no significant differences in extubation time,postoperative hospitalization days,postoperative complications,and number of surgically removed lymph nodes between the two groups(P＞0.05).The serum level of CRP in the total endoscopy group was significantly lower than that in the laparoscopic-assisted group on the first and fifth day after surgery(P＜0.05).Conclusion Total laparoscopic radical resection of cardiac cancer+π esoph-agojejunostomy is safe,which can reduce intraoperative bleeding,shorten the recovery time of patients,relieve postopera-tive pain,greatly reduce the occurrence of postoperative complications,and has little effect on the body's traumatic stress response.
关键词
贲门癌/完全腹腔镜/全胃切除术/π吻合/创伤应激
Key words
Adenocarcinoma of esophagogastric junction/Total laparoscopic surgery/Total gastrectomy/π-shaped esoph-agojejunal/Traumatic stress
维普
万方数据