在 laparoscopic 远距离胃切除术后,患者报告了胃癌的胃肠道症状
Shuomeng Xiao1, Zhi Ding1, Fazhi Zhao1
1Department of Gastric Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China.
使用鲁克斯-en-Y (R-Y) 或Billroth-II与Braun (B-II B) 重建的 laparoscopic远部胃切除显示了类似的短期胃肠道症状率. 腹部膨胀是最常见的症状,需要进行术后管理.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- laparoscopic远距离胃切除术是胃癌的常见手术.
- 鲁克斯-en-Y (R-Y) 和Billroth-II与布劳恩 (B-II B) 是常见的重建方法.
- 手术后的胃肠道症状可能会影响患者的康复和生活质量.
研究的目的:
- 为了比较腹腔镜远部胃切除术与Roux-en-Y (R-Y) 和Billroth-II与Braun (B-II B) 重建之间的术后胃肠道症状.
- 为了评估两个重建方法之间的手术结果,营养标志物和饮食模式.
主要方法:
- 对151名接受了腹腔镜远端胃切除术的患者进行了回顾性观察性研究.
- 患者被分为R-Y (n=110) 和B-II B (n=41) 组.
- 手术结果的比较,术后的标志物,饮食模式和胃肠道症状.
主要成果:
- 与B-II B组 (239.88 ± 57.78 分钟,p=0.046) 相比,R-Y组的操作时间 (261.00 ± 56.17 分钟) 显着更长.
- 在住院,并发症,营养/炎症标志物或饮食恢复方面没有发现显著差异.
- 在退院后1周和1个月的术后胃肠道症状的发生率在两组之间都相似.
结论:
- 腹部膨胀是腹腔镜间隔胃切除术后的主要胃肠道症状负担.
- 无论是R-Y还是B-II B重建,都导致胃肠道症状的短期发病率高且可比.
- 术后的胃肠道症状管理对于接受这些手术的患者至关重要.
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