Clinical application of jejuna interposition after proximal stomach cancer radical prostatectomy assisted with laparoscopy

Sun Haibin; Wang Tengqi; Feng Haiping; Pang Jian; Su Xiulan; Cui Hongwei

doi:10.3760/cma.j.issn.1673-4777.2014.11.016

Abstract：Objective To discuss the value of jejuna interposition after laparoscopic assisted proximal stomach cancer radical prostatectomy.Methods The proximal stomach cancer radical prostatectomy assisted with the laparoscopy was used in 57 gastric carcinoma patients (experimental group) and the residual stomach esophagus anastomosis were used for 57 gastric carcinoma patients (control group) between March 2009 and October 2011.The level of hemoglobin at 6 and 12 month,lymphocyte count,serum albumin,nutritional index,Visick classification and postoperative complications were measured before and after operation.Results Before operation,the level of hemoglobin in the experimental and the control group was (109 ± 13)g/L and (108 ± 12)g/L;nutritional index was 35 ± 3 and 36 ± 2.Compared with the level of hemoglobin [(122 ± 14),(115 ± 18) g/L],nutritional index was 50 ±5,43 ±5 six months after operation; the level of hemoglobin was (141 ± 10),(124 ±10)g/L; nutritional index was 57 ± 6,50 ± 5 twelve months after operation; all the differences were statistically significant (P ＜ 0.05).For the post-operative situation,there was a statistical significance in the levels of hemoglobin at 12 months after operation,including the level of nutritional index of 6 and 12 months after operation; the incidence of reflux (experimental group vs control group was 10.8％ (6/57) vs 48.6％ (27/57),(all P ＜ 0.05).Conclusion The jejunum place between the residual stomach and esophagus for patients undergoing proximal stomach cancer radical prostatectomy can maintain and restore physiological functionand reduce serious complications.