The effect of radical proximal gastrectomy combined with dual-channel reconstruction on perioperative and nutritional indicators in gastric cancer patients
Objective To analyze the effect of radical proximal gastrectomy combined with dual-channel reconstruction on perioperative and nutritional indicators in gastric cancer patients.Methods 60 cases of gastric cancer patients were selected and randomly divided into a control group and an observation group,with 30 cases in each group.The control group underwent radical total gastrectomy+Roux-en-Y reconstruction,while the observation group underwent radical proximal gastrectomy combined with dual-channel reconstruction.Comparison was made on perioperative indicators,postoperative recovery,nutritional indicators,quality of life,and complications between the two groups.Results The intraoperative blood loss of(89.65±10.21)ml in the observation group was less than(105.31±17.45)ml in the control group;in the observation group,the operation time was(116.27±13.34)min,the digestive tract reconstruction time was(32.25±3.71)min,the hospital stay time was(8.35±1.36)d,the bowel sound recovery time was(25.36±2.59)h,the anal exhaust time was(43.26±5.46)h,and the liquid feeding time was(84.36±6.87)h,and the off-bed activity time was(52.43±5.24)h,which were shorter than(139.84±16.25)min,(39.87±5.31)min,(10.69±1.87)d,(31.48±3.37)h,(54.89±7.58)h,(98.57±8.33)h,and(59.67±6.57)h in the control group(P<0.05).After surgery,the hemoglobin(Hb),total protein(TP)and albumin(ALB)in both groups were lower than those before surgery;the observation group had Hb of(116.57±11.69)g/L,TP of(67.35±4.89)g/L and ALB of(40.56±4.71)g/L,which were higher than(101.35±9.75),(61.26±3.67)and(33.48±3.69)g/L in the control group(P<0.05).After surgery,the scores of bodily pain,role-physical,physical function,general health status,energy,social function,role-emotional and mental health in both groups were higher than those before surgery,and the observation group was higher than the control group(P<0.05).The incidence of complications in the observation group was 6.67%(2/30),which was lower than 26.67%(8/30)in the control group(P<0.05).Conclusion Radical proximal gastrectomy combined with dual-channel reconstruction has advantages such as minimal trauma and fast postoperative recovery,which can improve the nutritional status and quality of life of gastric cancer patients without serious complications.It can be promoted and applied clinically.
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