Observation and analysis of ESD plus laparoscopic radical gastrectomy for early gastric cancer
Objective To observe the perioperative indicators and complications of endoscopic mucosal dissection(ESD)and lapa-roscopic radical gastrectomy for early gastric cancer in patients.Method A retrospective analysis was conducted on the clinical data of 98 patients with early gastric cancer who underwent surgical treatment in our hospital from May 2019 to May 2022.They were divided into a study group and a control group based on different surgical procedures.The study group had 49 patients and the control group had 55 patients.The study group received ESD and laparoscopic radical gastrectomy,while the control group received laparoscopic rad-ical gastrectomy.The perioperative bleeding volume and the time taken for the first occurrence of bowel sounds were compared between the two groups,and the impact of laparoscopic radical gastrectomy at different time intervals after ESD on the incidence of complica-tions was analyzed in the research group.Result There was no statistically significant difference in perioperative indicators such as in-traoperative bleeding volume,duration of first bowel sound appearance,and duration of hospital observation between the two groups(P>0.05);The incidence of postoperative complications in the first,third,and sixth weeks of the study group was lower than that in the oth-er weeks(P<0.05).Conclusion The addition of laparoscopic radical gastrectomy to ESD is similar to laparoscopic radical gastrectomy in the treatment of early gastric cancer in terms of intraoperative trauma and postoperative recovery.However,the former can lead to an increased incidence of postoperative complications in patients,and the safety of adding laparoscopic surgery within three weeks after ESD is relatively better.
Endoscopic mucosal dissectionLaparoscopic surgeryRadical gastrectomy for gastric cancerPerioperative periodcomplication
万方数据
维普
