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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (03): 290-293. doi: 10.3877/cma.j.issn.1674-3946.2019.03.024

Special Issue:

• Original Article • Previous Articles     Next Articles

3D laparoscopically assisted vagal nerve-preserving distal radical surgery for gastric cancer and evaluation of its clinical efficacy and recent quality of life

Caihua Feng1,(), Juan Lian1, Zhaoxia Fu1   

  1. 1. The People’s Hospital Of Longhua. Shenzhen 518109
  • Received:2018-07-01 Online:2019-06-26 Published:2019-06-26
  • Contact: Caihua Feng
  • About author:
    Corresponding author: Feng Caihua, Email:

Abstract:

Objective

To investigate the efficacy and recent quality of life of 3D laparoscopic assisted vagal nerve-preserving distal radical surgery on patients with gastric cancer.

Methods

A retrospective analysis of 120 patients with distal gastric cancer treated in our hospital from October 2014 to October 2016 was divided into three groups based on different surgical methods: 3D retention group, 3D routine group, and 2D retention group, each 40 cases. SPSS 21.0 software was used to statistically analyze the effect of the three groups of surgical procedures on the patient’s curative effect and recent quality of life. The perioperative indicators, gastric emptying function, gallbladder systolic function, and quality of life scores were described in the form of (±s), and compared with t-tests between the two groups, and F-tests were performed among the three groups. Relevant count data in clinical basic data were analyzed using χ2 test. P<0.05 meant a statistical difference.

Results

The three groups of patients had no statistical difference in the operation time, intraoperative blood loss, average number of lymph node dissections, first anus exhaust time, and postoperative hospital stay(P>0.05); there was no statistical difference in the gastric emptying function and gallbladder contraction function between the 3D retention group and the 2D retention group (P>0.05), but those was significantly better than 3D conventional group (P<0.05); 3D retention group patients’ quality of life scores at 3 months and 6 months after operation were significantly higher than those in the other two groups (P<0.05). There was no significant difference between the 3D retention group and the 2D retention group in the 12-month quality score (P>0.05), but it was still significantly higher than that of the 3D routine group (P<0.05).

Conclusion

3D laparoscopically assisted vagal nerve-preserving distal radical surgery for the treatment of gastric cancer has improvement of recent quality of life, and it is worth further promotion and application.

Key words: Stomach neoplasms, Laparoscopy, Treatment outcome, Quality of life

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