Abstract:
Objective To explore the application effect of non-sectored Roux-en-Y anastomosis during the operation of resectable gastric cancer (T1-4aN0-3M0) under total 3D laparoscopy in digestive tract reconstruction.
Methods The medical records of 102 patients with resectable gastric cancer from June 2022 to June 2025 were retrospectively analyzed. The patients were divided into the observation group (non-sectored Roux-en-Y anastomosis, n=57) and the control group (traditional anastomosis, n=45) based on different surgical methods. The surgical indicators, serum tumor markers, inflammatory factor levels, gastroscopy conditions, and complications were compared between the two groups. The data were analyzed using SPSS21.0 statistical software. The measurement data with normal distribution were expressed as (
±
s) and subjected to
t test; the count data were expressed as [number (%)] and subjected to
χ2 test or
Fisher's exact test; the ordinal data were subjected to
rank sum test.
P<0.05 was considered statistically significant.
Results The total operation time, digestive tract reconstruction time, time of first oral intake after surgery, intraoperative blood loss, and number of lymph nodes detected after surgery in the observation group were significantly different from those in the control group (P<0.05); there were no statistically significant differences in the postoperative anal exhaust time, gastric tube retention time, and postoperative hospital stay between the two groups (P>0.05); the postoperative carcinoembryonic antigen (CEA), cytokeratin 19 fragment (CYFRA21-1), and carbohydrate antigen 125 (CA125) in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05); the postoperative interleukin-6 (IL-6), C-reactive protein (CRP), and white blood cell count (WBC) in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05); the total incidence of complications in the observation group was lower than that in the control group, and the incidences of food retention and residual gastritis were lower, and the differences were statistically significant (P<0.05); the incidence of bile reflux was not statistically significant (P>0.05).
Conclusion In the total 3D laparoscopic radical resection of resectable gastric cancer, patients with non-sectored Roux-en-Y anastomosis have better intraoperative and early postoperative indicators than those with traditional anastomosis, and have lower tumor markers and inflammatory factor levels after surgery, with good short-term efficacy and safety.
Key words:
Gastric Neoplasms,
Digestive Tract Reconstruction,
Uncut Roux-en-Y Anastomosis,
Totally 3D Laparoscopy
Yue Tang, Xiaoming Ge, Kaiyuan Deng, Jian Yang. Application of Non-segmental Roux-en-Y anastomosis without dissection in the intraoperative resectable gastric cancer surgery under 3D laparoscopy in gastrointestinal reconstruction[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(05): 432-436.