Abstract:
Objective To compare the clinical outcome of laparoscopic radical radical resection of uncut-roux-en-y anastomosis with conventional Roux-en-y anastomosis.
Methods From March 2016 to March 2018, retrospective analysis of 80 patients with gastric cancer underwent laparoscopic radical gastrectomy were performed, including each 40 cases in two groups according to different anastomosis methods The operative effects and postoperative recovery were compared between the two groups, and the incidence of postoperative retention syndrome in the two groups was statistically analyzed. Statistical analysis were performed by using SPSS 18.0 software. Measurement data, such as postoperative indexes were expressed as(±s), and were examined by using independent t test. Count data such as incidence of postoperative retention syndrome were examined by chi square test. A P value <0.05 was considered as statistically significant difference.
Results The operation time, intestinal function recovery time and length of stay in the uncut-roux-en-y group were significantly shorter than those in the roux-en-y group respectively (P<0.05). The incidence of postoperative retention syndrome of 5% in the uncut-roux-en-y group was lower than 27.5% in the roux-en-y group, with significant difference (P<0.05).
Conclusion Laparoscopic radical gastrectomy for uncut-roux-en-y anastomosis compared with conventional roux-en-y anastomosis could effectively shorten the operation time and could reduce the incidence of postoperative retention syndrome, which is worthy of promotion.
Key words:
Stomach neoplasms,
Laparoscopy,
Gastrectomy,
Anastomosis, Roux-en-Y,
Treatment outcome
Xiangdong Gao, Jian Lu, Xudong Shen. Comparison of laparoscopic radical resection of gastric cancer with uncut-roux-en-y anastomosis and Roux-en-y anastomosis[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 366-368.