Comparative study of different anastomosis methods in laparoscopic distal gastrectomy for gastric cancer / 中国基层医药

ABSTRACT

Objective@#To explore the value of different anastomosis methods in laparoscopic distal gastrectomy.@*Methods@#From January 2014 to January 2016, 120 patients with distal gastric cancer in Weihai Central Hospital were selected and divided into the observation group and the control group according to the random digital table method, with 60 cases in each group.Triangular anastomosis was used in the observation group, while tubular anastomosis was used in the control group.The operative conditions, pain and complications were compared between the two groups.After 1-4 years of follow-up, the prognosis of the two groups was compared.@*Results@#Compared with the control group, the operation time of the observation group was shorter[(165.2±55.2)min vs.(188.2±59.3)min], the time of anastomosis was shorter[(22.6±8.1)min vs.(29.6±9.1)min], and the amount of bleeding was less[(88.6±29.2)mL vs.(107.5±49.1)mL], the differences were statistically significant (t=2.199, 4.451, 2.563, all P<0.05). Compared with the control group, the VAS scores of 1d[(3.5±1.1)points vs.(5.2±1.9)points]and 3d[(1.9±0.7)points vs.(3.0±1.5)points] were lower in the observation group, and the differences were statistically significant (t=5.998, 5.148, all P<0.05). There was no statistically significant difference in the incidence of postoperative complications between the two groups (P>0.05). After 1-4 years of follow-up, the overall survival rates in the observation group and the control group were 72.0% and 66.0%, respectively, and the median survival time was 42.4 months and 42.9 months, respectively.There was no statistically significant difference in survival between the two groups (χ2=0.310, P>0.05).@*Conclusion@#The trigonometric anastomosis is reliable in laparoscopic distal gastrectomy for gastric cancer, and it can shorten the time of anastomosis, reduce the amount of bleeding, and improve the postoperative pain of the patients.