Affiliation:
1. Department of Diagnostic Radiology Division, Harbin Medical University Cancer Hospital, Harbin 150081, China
2. Department of Gastrointestinal Surgical Ward, Harbin Medical University Cancer Hospital, Harbin 150081, China
Abstract
Objective. To evaluate the clinical effects and survival prognosis of radical gastrectomy assisted by external vision in gastric cancer. Methods. A total of 60 hospitalized gastric cancer patients from June 2016 to December 2018 were selected and divided into the observation group and control group according to different surgical procedures. The control group was treated with traditional open radical gastrectomy, while the observation group was treated with radical gastrectomy assisted by an external vision microscope. Relevant surgical indicators, visual analogue scale (VAS), postoperative complications, and life quality assessment were analyzed and compared between the two groups. Results. The incision length and intraoperative blood loss in the observation group were smaller than those in the control group, and the difference was statistically significant (
); compared with the control group, the observation group had significantly shorter hospital stay, earlier postoperative first exhaust time, and lower gastric fluid volume at the 3rd day after surgery (
). The pain scores of the observation group at 1, 4, and 12 weeks after surgery were lower than those of the control group (
), and the difference was significant. The quality of life scores at the 1st week and 12th week after surgery showed that the dysphagia symptom scores of the observation group and the control group were significantly reduced but the two groups had significant differences in fatigue, physical function, pain score, postoperative pain, and overall quality of life. The observation group was significantly better than the control group (
). Follow-up studies showed no significant difference between mortality and cancer recurrence (
); the patients recovered well at postoperation, and the diet of the observation group was better than that of the control group (
); gastric reflux and knife pain were less than those of the control group (
). Conclusion. Radical gastrectomy assisted by external vision for gastric cancer yields clinical benefits for gastric cancer patients, which not only dramatically shortened the length of hospital stay but also effectively ameliorated the quality of life of patients, all indicating that external vision-assisted surgery was significantly better than traditional gastrectomy in improving the postoperative quality of life of gastric cancer patients in the absence of increasing the risk of adverse events.
Funder
China Primary Health Care Foundation
Subject
Applied Mathematics,General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,Modelling and Simulation,General Medicine
Reference14 articles.
1. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries
2. Report of cancer incidence and mortality in China, 2014;W. Q. Chen;Zhonghua zhong liu za zhi [Chinese Journal of Oncology],2018
3. Comparison of short- and long-term outcomes following laparoscopy and open total gastrectomy for gastric cancer: a propensity score-matched analysis;S. Komatsu;American Journal of Translational Research,2020
4. How to analyze the Visual Analogue Scale: Myths, truths and clinical relevance
5. Analysis of the effects of different nutritional support methods on postoperative recovery in patients with gastric cancer;Y. Q. Qiao;Zhonghua zhong liu za zhi [Chinese Journal of Oncology],2019
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献