Abstract:
Objective To explore the clinical significance of perioperative nursing observation of double loop anastomosis of remnant stomach or esophago-jejunum after laparoscopic radical gastrectomy for gastric cancer.
Methods 116 cases of double loop anastomosis of remnant stomach or esophago-jejunum after laparoscopic radical gastrectomy for gastric cancer treated in our hospital were analyzed. All the cases were treated with Six Observation and Treatment in perioperative period.
Result Conclusion Total gastrectomy was performed in 45 cases, distal gastrectomy was performed in 71 cases. The recovery time of intestinal function was 3.2 d, the postoperative hospital stay was 12.3 d. Gastric hemorrhage was found in 3 cases(2.5%), and cured with non-operative treatments. Duodenal stump fistula was found in 2 cases(1.7%), and cured with non-operative treatments. Gastric emptying disorder was found in 7 cases(6.0%) of distal gastrectomy, and cured with non-operative treatments after 7-28d. Venous thrombosis was found in 3 cases(2.5%). Infection of deep vein nutrition catheter was found in 3 cases(2.5%). Pulmonary infection was found in 5 cases(4.3%). Heart rate disturbance was found in 6 cases(5.1%). No cases of death was found. Postoperative quality of life of all 116 cases was good.
Conclusion The nursing model of Six Observation and Treatment can improve the effect of treatment of complication, which is worthy of clinical promotion.
Key words:
Stomach neoplasms,
Laparoscopy,
Gastrectomy,
Observation
Cailing Chen, Mei Yang, Xiuyan Han, Min Yang, Dongmei Zhang, Haichun Xue. Perioperative Nursing Observation of Double Loop Anastomosis of Remnant Stomach or Esophago-jejunum after Laparoscopic Radical Gastrectomy for Gastric Cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 388-389.