本文選題：全腹腔鏡 + 胃癌根治術(shù)��； 參考：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討改良三角吻合在全腹腔鏡遠(yuǎn)端胃癌根治術(shù)中運(yùn)用的效果。方法:選取重慶醫(yī)科大學(xué)附屬第二醫(yī)院胃腸外科2014年2月至2016年2月施行全腹腔鏡遠(yuǎn)端胃癌根治術(shù)(totally laparoscopic distal gastrectomy,TLDG)并行B I式吻合的病例67例,其中傳統(tǒng)三角吻合(conventional delta-shaped anastomosis,Con-DSA)35例,改良三角吻合(modified delta-shaped anastomosis,Mod-DSA)32例,對(duì)比分析兩組患者吻合口大小、吻合時(shí)間、術(shù)后并發(fā)癥、住院時(shí)間、非計(jì)劃再次手術(shù)等的情況。結(jié)果:兩組患者吻合口直徑[(28.7±3.1)mm vs(29.9±3.1)mm]、消化道重建時(shí)間[(19.0±3.1)min vs(18.9±3.0)min]、住院時(shí)間[(14.7±5.0)d vs(13.0±2.0)d]的比較,差異無(wú)明顯統(tǒng)計(jì)學(xué)意義(P0.05),非計(jì)劃再次手術(shù)率比較,差異無(wú)明顯統(tǒng)計(jì)學(xué)(P0.05);但Con-DSA組術(shù)后總并發(fā)癥多于Mod-DSA組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),其中吻合口相關(guān)并發(fā)癥發(fā)生率Con-DSA組多于Mod-DSA組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:腹腔鏡下改良三角吻合技術(shù)是一項(xiàng)安全、可行的消化道重建方式。
[Abstract]:Objective: to investigate the effect of modified triangular anastomosis in total laparoscopic distal gastric cancer radical operation. Methods: from February 2014 to February 2016, 67 cases of gastroenteric surgery in the second affiliated Hospital of Chongqing Medical University underwent total laparoscopic distal gastrectomy with (totally laparoscopic distal gastrectomy and B I anastomosis, including 35 cases of conventional delta-shaped anastomosis Con-DSA. 32 cases of modified delta-shaped anastomosis mod-DSA were analyzed. The size of anastomotic site, anastomosis time, postoperative complications, hospital stay and unplanned reoperation were compared between the two groups. Results: there was no significant difference in anastomotic diameter (28.7 鹵3.1) mm vs (29.9 鹵3.1mm), digestive tract reconstruction time (19.0 鹵3.1) min vs (18.9 鹵3.0 min) and hospital stay (14.7 鹵5.0) d vs (13.0 鹵2.0 d) between the two groups (P0.05). There was no significant difference (P0.05), but the total postoperative complications in Con-DSA group were more than those in Mod-DSA group (P0.05), and the incidence of anastomose-related complications in Con-DSA group was higher than that in Mod-DSA group (P0.05). Conclusion: laparoscopic modified triangular anastomosis is a safe and feasible way to reconstruct digestive tract.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R735.2

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