Clinical Effect Of Different Anastomosis Contrast Of Radical Gastrectomy

Background Gastric carcinoma is the primary cancer in gastric epithelial cells of the mucous membranes, its occurrence may be related to factors including environment and diet, helicobacter pylori infection, gastric epithelial cells of the mucous membranes atypical hyperplasia, chronic disease of the stomach and so on. The gastric cancer prognosis has factors related to the staging of gastric cancer, type of organization, biological behavior and treatment measures.Radical gastrectomy is so far the only possible way to cure stomach cancer. The digestive tract reconstruction is the quite important part in the radical gastrectomy. The main applications of anastomosis currently are traditional double layers anastomosis and the subsequent conduct of the single layer anastomosis and stapling, But their views of the clinical effect of these method of anastomosis are different.Objective Compare analysis of the clinical effects about different anastomosis in the radical gastrectomy, including the operative time, the time of flatus, the time of hospitalization, blood loss in the surgery, postoperative complications of the short-term efficacy and the partial transfer rate, distant metastasis rate,1-year recurrence rate,1-year survival rate of the long-term efficacy. Then draw a conclusion that which method of anastomosis is more secure and easy, more suitable for clinical application.Methods Extracting August2008to June2013, the Third Affiliated Hospital of XinXiang Medical College of General Surgery line of143cases of radical gastrectomy patients, dividing into three groups randomly according to the kind of anastomosis when doing digestive tract reconstruction. The first group of patients were given a single layer match, the second were given double match, the third were treated with stapling. Compare the three groups of patients with the operative time, postoperative complications of the short-term efficacy and the1-year recurrence rate,1-year survival rate of the long-term efficacy, and then give the results analyzed using the statistics.Results①he double anastomosis group of patients’hospitalization time, the incidence of anastomotic leakage and anastomotic stricture rate was significantly higher than single anastomosis and stapling anastomosis group(p<0.05), the difference was statistically significant. The single anastomosis group and the stapling group of patients’ hospitalization time, exhaust and complication rates were no significant difference group (p>0.05).②tapling surgery group were significantly shorter than the other two groups(p<0.05). The difference was statistically significant.③hree groups of patients with localized metastasis, distant metastasis rate,1-year recurrence rate, compared to one-year survival rate, the difference was not statistically significant(p>0.05).Conclusion Radical gastrectomy using techniques with single layer anastomosis and stapling can get a better clinical effect than using double anastomosis and are the ideal methods of anastomosis in the digestive tract reconstruction when doing radical gastrectomy.