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《Oncology Progress》 2018-08
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Comparative study of triangular anastomosis and tubular anastomosis in laparoscopic gastrectomy for distal gastric cancer

WANG Xinwei;LYU Ke;SONG Zhan;LI Bo;YU Sijun;Department of General Surgery,Nanyang City Central Hospital;Department of Respiratory,Nanyang City Central Hospital;  
Objective To compare the value of triangular anastomosis and tubular anastomosis in laparoscopic gastrectomy for distal gastric cancer. Method The clinical data of 218 patients with laparoscopic radical gastrectomy for distal gastric cancer and Billroth-anastomosis were analyzed retrospectively, of which 116 cases of trigonometric anastomosis were divided into the observation group and 102 cases of tubular anastomosis were divided into the control group. The operation and postoperative condition, and the 3-year survival rates of the two groups were compared. Result The operative time and anastomosis time of the patients in the observation group were(166.8±55.6) and(21.5±8.6) min respectively, which were significantly shorter than those in the control group(189.1±65.1) and(29.2±9.5) min, and the amount of bleeding of observation group was(86.1 ± 28.6) ml during the operation, which was significantly lower than that of the control group(106.2±39.3) ml(P0.01). The VAS score of 1 and 3 days after operation and the dosage of pethidine hydrochloride were(3.6±1.3),(1.9±0.8) and(152.3±48.9) mg respectively, which were significantly lower than those of the control group(5.1±1.8),(3.2±1.4), and(221.2±86.7) mg(P0.01). There was no significant difference in the incidences of incision infection, anastomotic leakage, bleeding, and 3-year overall survival rate between the two groups(P0.05).Conclusion In laparoscopic radical gastrectomy for distal gastric cancer, the long-term effects of triangular anastomosis and tubular anastomosis are similar, but compared to tubular anastomosis, the degree of pain is lower, operation time is shorter and the amount of bleeding during the operation is smaller in patients undergoing triangular anastomosis.
【CateGory Index】: R735.2
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