全胃切除术后简易功能空肠间置与保留十二指肠通道的比较。

IF 3.5 3区医学 Q1 SURGERY

Asian Journal of Surgery Pub Date : 2025-02-01 DOI:10.1016/j.asjsur.2024.10.232

Xue-Lu Zhou, Yan-Qing Deng, Pei-Jie Zhang, Hai Huang, Huan-Bin Zhang, Hong-Shuai Li, You-Hua Wang, Jian-Hua Luo

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引用次数: 0

摘要

目的：本前瞻性随机对照试验旨在比较功能性空肠介入（FJI）和单纯空肠介入（SJI）作为胃癌全胃切除术后重建方法的有效性。该研究评估了主要终点，如营养状况和生活质量，以及次要终点，包括手术时间、术中出血量、围术期和术后并发症以及生存率。方法：113例患者随机分为FJI组和SJI组。根据分组进行手术治疗。根据血浆营养参数、体重减轻和营养评估指数（NAI）评估营养状况。生活质量采用Cuschieri评分和Visick评分进行评估。记录手术时间、术中出血量、围术期及术后并发症及生存率。结果：FJI组和SJI组在主要和次要终点方面无显著差异。两组在营养状况、生活质量、围手术期和术后并发症以及生存率方面均表现出相似的结果。FJI组手术时间较SJI组长。结论：本研究表明，FJI和SJI在维持胃癌全胃切除术后的营养、生活质量和生存率方面均有效。虽然FJI比较复杂，但SJI持续时间较短，所以首选。外科医生应根据患者的特点和自身技能选择最合适的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Comparing simple and functional jejunal interposition with preserved duodenal passage after total gastrectomy

Objective

This prospective randomized controlled trial aimed to compare the effectiveness of functional jejunal interposition (FJI) and simple jejunal interposition (SJI) as reconstruction methods following total gastrectomy for gastric cancer. The study assessed primary endpoints such as nutritional status and quality of life, as well as secondary endpoints including operative time, intraoperative blood loss, perioperative and postoperative complications, and survival rate.

Methods

A total of 113 patients were randomly assigned to either the FJI group or the SJI group. Surgical procedures were performed according to the allocated group. Nutritional status was evaluated based on plasma nutritional parameters, weight loss, and the nutritional assessment index (NAI). Quality of life was assessed using Cuschieri scores and Visick scores. Operative time, intraoperative blood loss, perioperative and postoperative complications, and survival rate were also recorded.

Results

There were no significant differences observed between the FJI group and the SJI group in terms of primary and secondary endpoints. Both groups showed similar outcomes in terms of nutritional status, quality of life, perioperative and postoperative complications, and survival rate. The operative time was longer in the FJI group compared to the SJI group.

Conclusion

This study shows that both FJI and SJI are effective at maintaining nutrition, quality of life, and survival rate after total gastrectomy for gastric cancer. Although FJI is more complex, SJI is preferred due to its shorter duration. Surgeons should choose the most appropriate method based on the patient's characteristics and their own skills.

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来源期刊

Asian Journal of Surgery 医学-外科

CiteScore

3.60

自引率

31.40%

发文量

1589

审稿时长

33 days

期刊介绍： Asian Journal of Surgery, launched in 1978, is the official peer-reviewed open access journal of the Asian Surgical Association, the Taiwan Robotic Surgery Association, and the Taiwan Society of Coloproctology. The Journal is published monthly by Elsevier and is indexed in SCIE, Medline, ScienceDirect, Scopus, Embase, Current Contents, PubMed, Current Abstracts, BioEngineering Abstracts, SIIC Data Bases, CAB Abstracts, and CAB Health. ASJSUR has a growing reputation as an important medium for the dissemination of cutting-edge developments in surgery and its related disciplines in the Asia-Pacific region and beyond. Studies on state-of-the-art surgical innovations across the entire spectrum of clinical and experimental surgery are particularly welcome. The journal publishes original articles, review articles, and case reports that are of exceptional and unique importance. The journal publishes original articles, review articles, and case reports that are of exceptional and unique importance.