Comparison of Clinical Efficacy between Left Posterior Approach and Right Anterior Approach in Laparoscopic Radical Gastrectomy for Gastric Cancer
Objective:To compare the clinical efficacy of right anterior approach and left posterior approach in laparoscopic radical gastrectomy for gastric cancer.Method:A total of 80 patients with gastric cancer who underwent surgical treatment in the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2022 to January 2024 were selected as the research objects,they were divided into the experimental group(n=40)and the control group(n=40)according to different surgical methods.All patients were underwent laparoscopic radical gastrectomy,the experimental group was treated with right anterior approach,and the control group was treated with left posterior approach.The operation and rehabilitation indexes(operation time,intraoperative blood loss,number of lymph node dissection,total hospitalization time and postoperative exhaust time),gastrointestinal function scores,serum inflammatory factors[high-sensitivity C-reactive protein(hs-CRP),interleukin-6(IL-6)]and carcinoembryonic antigen(CEA)levels and complications(incision infection,pulmonary infection,intestinal obstruction and postoperative gastroparesis)within 3 months after operation were compared between two groups.Result:The operation time,intraoperative blood loss,total hospitalization time and postoperative exhaust time of the experimental group were better than those of the control group,and the number of lymph node dissection was more than that of the control group,the differences were statistically significant(P<0.05).Before operation,there were no significant differences in the gastrointestinal function scores,serum inflammatory factors and CEA levels between two groups(P>0.05);at 7 d after operation,the gastrointestinal function scores in two groups were lower than those before operation,and that in the experimental group was lower than that in the control group,the differences were statistically significant(P<0.05);at 3 d after operation,the levels of hs-CRP and IL-6 in two groups were higher than those before treatment,but those in the experimental group were lower than the control group,the levels of CEA in two groups were lower than those before operation,and that in the experimental group was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the experimental group within 3 months after operation was lower than that in the control group,and the difference was not statistically significant(P>0.05).Conclusion:Compared with laparoscopic radical gastrectomy via left posterior approach,laparoscopic radical gastrectomy via right anterior approach has many advantages,including open surgical field,thorough lymph node dissection,lower level of inflammatory factors,less intraoperative injury,faster postoperative recovery,which can improve the overall treatment effect and promote faster recovery of patients.
Left posterior approachRight anterior approachLaparoscopic radical gastrectomy for gastric cancerClinical efficacy
万方数据
维普
