Objective To observe the effect of hand-sewn jejunal interposition anastomosis(HJIA) in totally laparoscopic distal gastrectomy(TLDG) in patients with distal gastric cancer.
Methods The clinical data of 18 patients with distal gastric cancer who received TLDG combined with HJIA was retrospectively collected. The patients′ data was analyzed by descriptive study method, and relevant data was analyzed by SPSS software.
Results The average duration of operation, the volume of intraoperative blood loss, cost of consumables used, time to first flatus and time to first postoperative intake of liquid food were (324.33±57.94) min, 20.00(20.00, 100.00) mL, (2 875.40±531.43) Yuan (RMB), 2.50(2.00, 3.00) d, 5.00(2.00, 6.00) d, and 12.00(10.00, 16.25) d. Of the 18 patients, one patient had a duodenal anastomotic fistula and was discharged after conservative and surgical treatment; one case occurred postoperative gastric paralysis and one case occurred pulmonary infection combined with chyle leakage, both were discharged after conservative treatment. All 18 patients were followed up for 1 month to 12 months. No recurrence or metastasis of gastric cancer occurred in the patients during the follow-up period. Four patients had no clinical symptoms during follow-up, but gastric retention was found by gastroscopy.
Conclusion It is feasible for patients with distal gastric cancer to be treated with TLDG combined with HJIA by skilled laparoscopic physicians.
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