Abstract:
Objective To study the clinical effect of totally laparoscopic anastomosis using linear stapler after total gastrectomy.
Methods The 40 cases of upper and middle gastric cancer that received laparoscopic total gastrectomy and digestive tract reconstruction with Roux-en-Y method treated in our hospital from Mar 2019 to Mar 2021 were retrospectivly analyzed. The open anastomosis using circular stapler was performed in Group A(22 cases), and totally laparoscopic anastomosis using linear stapler was performed in Group B(18 cases). The clinical data and postoperative complications were collected and analyzed. Statistical software SPSS 11.5 was used for analysis. The perioperative measurement data of the two groups were presented as (±s), and compared with independent t test. The postoperative complications were determined by χ2 test. P<0.05 was considered statistically significant.
Results The operative time, blood loss, incision length, scores of pain severity at 24 hours after operation, first exhaust time were significantly better in Group B than Group A(P<0.05). No significant difference was noted between the two groups in terms of early and late postoperative complications(P>0.05).
Conclusions It is better to do totally laparoscopic anastomosis using linear stapler than open anastomosis using circular stapler after total gastrectomy.
Key words:
Stomach neoplasms,
Laparoscopes,
Gastrectomy,
Digestive tract reconstruction,
Totally laparoscopic anastomosis
Wei Cui, Tao Li, Gang Chen, Shiyong Li. The clinical comparative study of totally laparoscopic anastomosis and open anastomosis after total gastrectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(05): 510-512.