Circular stapler proximal abdominal incision cardiac clinical study of gastric cancer surgery.docVIP

 PAGE \* MERGEFORMAT 16 Circular stapler proximal abdominal incision cardiac clinical study of gastric cancer surgery Study: Zhong Wei Qin, Zhao Feng, Wei Daowen, Lv Jiansheng Constitution in Lu Yunlong, Huang Hui Sen [Abstract] Objective To evaluate the circular stapling surgical treatment of abdominal incision proximal gastric cardia the feasibility, safety, and the recent clinical efficacy of radical. Methods proximal gastric cardia were treated the same period were divided into two circular Stapler abdominal incision group (30 cases and conventional transthoracic or thoracoabdominal incision group (31 cases, radical gastrectomy for proximal gastric cardia. Comparative analysis of two sets of indexes of the surgery, hospital surgical medical expenses, oncology targets and term effect. Results Comparison of surgery: two operative time, blood loss, postoperative analgesic demand rate, intestinal function recovery time, eating liquid time, ambulation time and hospital stay were significantly different (P lt;0.001, Complications were no significant differences (Pgt; 0.05, no operative death. Comparison of inpatient surgery medical costs: The difference was statistically significant (P lt;0.05. Oncology radical groups comparison: the number of lymph node dissection was no significant difference between the two groups of esophageal resection margin of all specimens were negative for pathological examination. follow-up: The patients were followed up for an average of 19 months, two groups of patients relapse rate and survival rate were not significantly different (Pgt; 0.05). Conclusion round abdominal incision stapled proximal gastric cardia more traditional radical transthoracic or thoracoabdominal incision proximal cardia gastric cancer operation time, less bleeding, postoperative pain, quicker recovery, shorter hospital stay, surgery complications much, no operative mortality, hospital surgical costs less, and evaluation of surgical specimens of tumor