Clinical Efficacy Of Laparoscopic-Assisted Proximal Gastrectomy With Postoperative Double-Tract Digestive Tract Reconstruction

Background:Recently,the incidence of proximal gastric cancer is growing year by year.Total gastrectomy for Roux-en-Y reconstruction is universially used for the therapy of proximal gastric carcinoma With the concept of personalized medical treatment and precision medicine being recognized by clinicians,the overall efficacy of gastric cancer patients undergoing total gastrectomy has been improved.However,the series of complications caused by total gastrectomy greatly reduce the quality of life after surgery.With the progress of technology,various methods of digestive tract reconstruction have emerged,but there is no recognized ideal method for digestive tract reconstruction.Finding a suitable method for digestive tract reconstruction is important to reduce their symptoms and improve their nutritional status.Currently,total gastrectomy Roux-en-Y reconstruction and proximal gastrectomy double-tract reconstruction are two widely used clinical treatments for proximal gastric cancer,but with different efficacy.In view of this,this research group collected the treatment data of proximal gastric cancer surgery patients,and made statistical analysis and comparison on their general data,perioperative indicators,nutritional indexes,and postoperative complications.Objective.To explore the clinical effect of proximal gastrectomy for digestive tract reconstruction after laparoscopic-assisted radical proximal gastric cancer.Methods.A total of 40 patients with proximal gastric cancer who underwent gastrectomy in Zhujiang Hospital were selected to collect relevant clinical data.They were divided into two categories in accordance with their treatment methods:TG-RY group(total gastrectomy with Roux-en-Y reconstruction group)and PG-DT group(proximal gastrectomy with double tract reconstruction group).The general data perioperative indicators,nutritional indicators,and postoperative complications of the two categories analyzed and compared.Results.There was no statistical significance in the comparison of general data between the two groups,but the proportion of Ⅲ stage patients of TNM stage in the PG-DT group was larger than that in the TG-RY group.Meanwhile,the intraoperative blood loss,postoperative hospital stay,andfirst exhaust time in PG-DT group were lower than those in TG-RY group(P<0:05).After surgery,the nutritional indexes of the PG-DT group decreased,and the decrease degree was less than that of the TG-RY group,while the infection indicators of the PG-DT group increased less than that of the TG-RY group.Statistical analysis of postoperative complications showed that the total incidence of PG-DT group was lower than that of TG-RY group.Conclusion.Proximal gastric cancer resection and postoperative DTR anastomosis can effectively accelerate the rehabilitation of patients and reduce the occurrence of postoperative complications,with good efficacy.This study provides a basis for the advantages of various postoperative anastomosis methods and a reliable basis for the diagnosis and treatment of clinicians,and effectively improves the quality of life of patients undergoing proximal gastric cancer surgery.