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目的探讨三角吻合技术在腹腔镜远端胃癌根治术中的应用效果。方法 30例远端胃癌患者,随机分为对照组和实验组,每组15例。对照组行常规腹腔镜辅助远端胃癌根治术,实验组采用全腹腔镜下远端胃癌根治术+三角吻合技术。比较两组术中、术后情况及吻合口相关并发症发生情况。结果实验组术中出血量明显少于对照组,差异具有统计学意义(P<0.05),但两组淋巴结清扫数目、手术时间比较,差异无统计学意义(P>0.05)。实验组术后肛门排气时间、术后3 d疼痛评分明显优于对照组,差异具有统计学意义(P<0.05)。实验组吻合口相关并发症发生率为0,低于对照组的26.67%,差异具有统计学意义(P<0.05)。结论在腹腔镜远端胃癌根治术中应用三角吻合技术效果显著,安全可靠,值得在外科中推广及应用。
Objective To investigate the effect of triangular anastomosis in laparoscopic radical gastrectomy. Methods Thirty patients with distal gastric cancer were randomly divided into control group and experimental group, 15 cases in each group. The control group received conventional laparoscopic radical gastrectomy for distal gastric cancer. The experimental group received total laparoscopic radical gastrectomy plus triangular anastomosis. The incidence of postoperative complications and anastomotic complications were compared between the two groups. Results The bleeding volume in the experimental group was significantly less than that in the control group (P <0.05). However, there was no significant difference in the number of lymph node dissection and operation time between the two groups (P> 0.05). The postoperative anal exhaust time and postoperative pain scores were significantly better in the experimental group than those in the control group (P <0.05). The incidence of anastomotic complications in the experimental group was 0, which was lower than that in the control group (26.67%), the difference was statistically significant (P <0.05). Conclusion The application of triangular anastomosis in the radical operation of laparoscopic distal gastric cancer is significant, safe and reliable, which is worth popularizing and applying in surgery.