|
|
|
| Application of Pyloric-vagus-preserving Gastrectomy in Early Gastric Cancer |
| Ye Xiang |
| Hong'an County People's Hospital,438499 Hubei,China |
|
|
|
|
Abstract Objective To investigate the effects of Application of pyloric-vagus-preserving gastrectomy in early gastric cancer. Methods According to the principle of completely random,120 cases of early gastric cancer patients for surgical treatment in our hospital were randomly divided into DG group and PPG group.PPG group were given the pyloric-vagus-preserving gastre ctomy,and DG group were treated with conventional distal gastrectomy.To record food block and dumping syndrome and other complications occurrence of the two groups of patients after reflux;and respectively measuring body weight,serum albu-min,serum cholesterol,and other indicators of recovery and the occurrence of gall-stones of two groups of patient after 1 month,3 months,6 months,12 months,18 months and 24 months;periodic endoscopy,were observed in patients with esopha- gitis,gastritis and food residue retention occurrence;surgery after the patients were followed up for a period of five years,the two groups were observed and recorded five years after cancer recurrence and 5-year survival rate. Results ①Incidence of postoperative complications of PPG group were significantly lower than DG group,and the difference above was statistically significant（P<0.05）.②The incidence of gallstones with PPG group were significantly lower than DG group,and the above difference was statistically significant（P<0.05）.③Postoperative residual esopha- gitis and gastritis incidence of patients PPG group were 6.8%,28.9%,which all were lower than DG group of patients（8.1%,31.1%）;Food retention rate and the incidence of bile reflux of PPG group were 8.5% and 0.0% ,which all was significantly lower than DG group（19.7%,8.2%）,and above differences were statistically significant（P<0.05）.④DG postoperative 5-year recurrence rate was 6.6%,mainly in the submucosa carcinoma,5-year survival rate was 91.8%;PPG group tumor recurrence after five years was 5.1%,almost all of the submucosa carcinoma 5-year survival rate was 93.2%;but more than two groups showed no significant difference（P=0.72 recurrence rate,P5=0.61）. Conclusion pyloric-vagus-preserving gastrec-tomy in the clinical treatment of early gastric cancer can be effective in preventing re-flux,food block and dumping syndrome and other postoperative complications,gallstones and bile reflux occurs,and it has important clinical value in improving the patient's quality of life.
|
|
Received: 10 May 2023
|
|
|
|
|
|
[1] 尹刚,张能维,阿民布,等.腹腔镜远端胃癌根治术的基础及临床应用[J].实用临床医药杂志,2015,19(09):114-115,126.
[2] 胡祥,曹亮,于艺,等.保留幽门及迷走神经的胃部分切除术治疗早期胃癌[J].中华普通外科杂志,2011,26(04):316-319.
[3] 韩方海,伍晓汀,张肇达.日本胃癌根治手术保留幽门的术式选择和解剖学基础[J].中国现代普通外科进展,2003,6(03):185-187.
[4] 王宽,薛英威.保留贲门的近端胃癌根治术新术式探讨(附16例报告)[J].哈尔滨医科大学学报,2007,41(06):596-598.
[5] 张驰,张健,胡祥,等.腹腔镜保留幽门及迷走神经胃切除术治疗早期胃癌[J].中华消化外科杂志,2014,13(05):381-385.
[6] 陈玉强,郭文虎,陈严绪,等.保留幽门胃切除术治疗慢性胃溃疡的疗效观察[J].中国普通外科杂志,2001,10(03):284-286.
[7] 胡俊峰,邵钦树,孙元水,等.保留迷走神经、幽门胃部分切除手术在早期胃体癌中的应用[J].中华医学杂志,2015,95(14):1096-1099. |
| [1] |
Li Jin, Kou Qiongya, Zhang Lina. Value Explorationof Digestive Endoscopytechnology in Early Diagnosis and Treatment of Digestive Tract Tumors[J]. journal1, 2023, 43(4): 12-14. |
| [2] |
Liu Xue, Guo Lingchuan. Research Progress on the Immunoregulatory Role of CD155 in Malignant Tumors[J]. journal1, 2023, 43(2): 127-129. |
| [3] |
Wang, Jing. Changes and Significance of Serum TGF beta 1,sIL-2R and Tumor Markers Before and After Radiotherapy in Patients With Hepatocellular Carcinoma[J]. journal1, 2021, 41(1): 22-24. |
|
|
|
|
2023, Vol. 43 
