Perioperative Nursing Observation of Double Loop Anastomosis of Remnant Stomach or Esophago-jejunum after Laparoscopic Radical Gastrectomy for Gastric Cancer

doi:10.3877/cma.j.issn.1674-3946.2019.04.021

Abstract

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.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhpwkssxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3946.2019.04.021

https://zhpwkssxzz.cma-cmc.com.cn/EN/Y2019/V13/I04/388

References 8

[1]	胡建昆，赵林勇．腹腔镜胃癌根治术的难点与争议[J/CD]．中华普外科手术学杂志(电子版)，2018，12(2)：91-94.
[2]	胡祥，张健．不断提高胃癌根治术后并发症防治水平[J/CD]．中华普外科手术学杂志：电子版，2015，9(2)：79-82.
[3]	Haverkamp L, Ruurda JP, Offerhaus GJ, et a1.Laparoseopie gastrectomy in Western European patients with advanced gastric cancer[J]. Eur J Surg Oncol, 2016，42(1): 110-115.
[4]	刘金刚，孙威．腹腔镜胃癌根治后吻合口漏的诊断与治疗[J/CD]．中华普外科手术学杂志：电子版，2015，9(2)：86-89.
[5]	李子禹，李泽民，李双喜，等．腹腔镜胃癌根治术后出血的原因与处理策略[J/CD]．中华普外科手术学杂志：电子版，2015，9(2)：90-93.
[6]	徐凯，崔明，邢加迪，等．腹腔镜辅助胃癌根治术对老年胃癌患者的临床疗效分析[J/CD]．中国肿瘤临床，2017，44(16)：800-804.
[7]	张迪，张立，陆宏伟，等．肠内营养支持对进展期胃癌术后营养及化疗耐受性的影响[J]．中国现代医学杂志，2018，28(28)：122-126.
[8]	梁寒．胃癌远端胃切除术后消化道重建手术方式的选择及临床评价[J]．中华消化外科杂志，2016, 15(3)：216-220.

[1]	Li Dai, Huiwei Deng, Huajing Guo, Furong Huang. Effect of continuous infusion of esketamine on postoperative sleep quality of patients undergoing laparoscopic colorectal cancer surgery [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(06): 408-412.
[2]	Kai Li, Lin Chen, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a U-shaped memory alloy wire in transumbilical single-port laparoscopic appendectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 15-15.
[3]	Shijiang Pang, Yanyan Huang, Guanlie Zhu. Safety and efficacy of modified π-type anastomosis in laparoscopic total gastrectomy for digestive tract reconstruction [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 66-69.
[4]	Di Cao, Yuru Zhang. A case of pelvic floor hernia repaired by laparoscopic biological patch after radical resection of rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 115-116.
[5]	Mingchao Yi, Xin Wang, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a T-type memory wire in transumbilical single-hole laparoscopic cholecystectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 599-599.
[6]	Mingchao Yi, Xin Wang, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a T-type memory wire in transumbilical single-hole laparoscopic cholecystectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 599-599.
[7]	Bo Mo, Pei Wang, Heng Wang, Zhijun He, Jun Liang, Zhinan Hao. Curative effect of laparoscopic radical gastrectomy and modified radical gastrectomy for early gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 644-647.
[8]	Damin Chen, Xiaogang Cao, Nengqi Cao. Effect of obesity on surgical treatment of gastric cancer patients [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 651-653.
[9]	Feilong Meng, Shuai Hua, Ying Zhang, Guanghai Lu. Application of transumbilical single-port laparoscopic retrosheath approach in total extraperitoneal inguinal hernia repair [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 658-660.
[10]	Tao Ma, Chunwei Ye, Tao Liu, Wenxi Peng, Zhipeng Li. Comparison of laparoscopic and open disconnected pyeloplasty in the treatment of ureteropelvic junction obstruction in children [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 605-610.
[11]	Cheng Liu, Cong Lai, Jian Huang, Jianchen Wang, Xiyun Luo, Kewei Xu. Feasibility study of EDGE SP1000 single hole surgical robot assisted laparoscopic partial ureterectomy with end-to-end anastomosis in pigs [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 642-646.
[12]	Jiahui Zhao, Yongxing Wang, Tao Peng, Mingchuan Li, Dechao Wei, Yili Han, Zhu Hou, Yongguang Jiang, Yong Luo. Risk factors of prolonged operation time and higher intraoperative blood loss in retroperitoneal laparoscopic radical nephrectomy [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 575-580.
[13]	Bangqi Wang, Bote Chen, Haojian Lin, Huiyang Xu, Zhenwei Wang, Xuefeng Yuan, Kangjian Lin, Xiaofu Qiu. Application of laparoscopic pyeloplasty combined with ureteroscopy in the treatment of ureteropelvic junction obstruction complicated with calyx calculi [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 597-600.
[14]	Ming Zhu, Guoyu Tong, Haiteng Zhao, Liang Zhong, Xiangyu Zou, Shaofeng Wu, Yinan Zhang. Clinical significance of laparoscopic technique in reducing secondary surgery of occult inguinal hernia and hydrocele of children [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(05): 457-460.
[15]	Zhao Niu, Bo Li, Wanfu Zhang, Wendi Jin, Chunxiao Wang, Xiaogang Li. Safety and efficacy of laparoscopic sleeve gastrectomy combined with cholecystectomy in treatment of obesity complicated with cholecystolithiasis [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 635-639.

Please choose a citation manager

Content to export