Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction

ZHANG Chensong; PAN Chengwu; WANG Qingkang; WANG Yuanpeng; WU Han; MA Jiachi

doi:10.16766/j.cnki.issn.1674-4152.003543

Volume 22 Issue 6

Jun. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(6): 957-961

ZHANG Chensong, PAN Chengwu, WANG Qingkang, WANG Yuanpeng, WU Han, MA Jiachi. Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction[J]. Chinese Journal of General Practice, 2024, 22(6): 957-961. doi: 10.16766/j.cnki.issn.1674-4152.003543

Citation:

ZHANG Chensong, PAN Chengwu, WANG Qingkang, WANG Yuanpeng, WU Han, MA Jiachi. Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction[J]. Chinese Journal of General Practice, 2024, 22(6): 957-961. doi: 10.16766/j.cnki.issn.1674-4152.003543

Citation:

ZHANG Chensong, PAN Chengwu, WANG Qingkang, WANG Yuanpeng, WU Han, MA Jiachi. Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction[J]. Chinese Journal of General Practice, 2024, 22(6): 957-961. doi: 10.16766/j.cnki.issn.1674-4152.003543

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Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction

doi: 10.16766/j.cnki.issn.1674-4152.003543

1.
Department of Oncology Surgery, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

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2208085MH242

2023AH051990

20220130

2023032

Received Date: 2023-12-04
Available Online: 2024-07-22

Abstract

Abstract

Objective To analyze the short-term clinical efficacy and safety of total laparoscopic π-shaped esophageal jejunostomy and laparoscopic assisted Roux-en-Y esophago-jejunostomy for adenocarcinoma of the esophagogastric junction. Methods The clinical and pathological data of 72 patients with adenocarcinoma of the esophagogastric junction treated in the First Affiliated Hospital of Bengbu Medical University from June 2020 to July 2022 were collected. All patients underwent laparoscopic total gastrectomy + D2 lymphadenectomy, in whom 38 patients underwent total laparoscopic radical resection of cardiac cancer + π-shaped esophageal jejunostomy and 34 patients underwent laparoscopic-assisted radical resection of cardiac cancer + Roux-en-Y esophago-jejunostomy. The safety and effects on stress response indicators of different surgical methods were analyzed. Results The mean operation time of the total endoscopy group was longer than that of the laparoscopic-assisted group and the length of the incision was significantly shorter than that in the laparoscopic-assisted group (P < 0.001). In terms of intraoperative bleeding, the amount of intraoperative bleeding in the total endoscopy group (130.26±23.54) mL was significantly lower than that in the laparoscopic group [(167.21±28.53) mL, t=6.017, P < 0.001]. The first postoperative exhaust time in the total endoscopy group was significantly lower than that in the laparoscopic-assisted group (P=0.003). There were no significant differences in extubation time, postoperative hospitalization days, postoperative complications, and number of surgically removed lymph nodes between the two groups (P>0.05). The serum level of CRP in the total endoscopy group was significantly lower than that in the laparoscopic-assisted group on the first and fifth day after surgery (P < 0.05). Conclusion Total laparoscopic radical resection of cardiac cancer + π esophagojejunostomy is safe, which can reduce intraoperative bleeding, shorten the recovery time of patients, relieve postoperative pain, greatly reduce the occurrence of postoperative complications, and has little effect on the body's traumatic stress response.
- Adenocarcinoma of esophagogastric junction,
- Total laparoscopic surgery,
- Total gastrectomy,
- π-shaped esophagojejunal,
- Traumatic stress

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References(24)

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Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction

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Short term safety research of total laparoscopic π-shaped esophagojejunal anastomosis in radical surgery for adenocarcinoma of esophagogastric junction

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