|Table of Contents|

Comparative study on the application of AirSeal intelligent pneumoperitoneum and traditional pneumoperitoneum in laparoscopic radical gastrectomy for elderly patients

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2024 21
Page:
4102-4105
Research Field:
Publishing date:

Info

Title:
Comparative study on the application of AirSeal intelligent pneumoperitoneum and traditional pneumoperitoneum in laparoscopic radical gastrectomy for elderly patients
Author(s):
QIAN Bo; ZHENG Qitong; CHEN Mingqin; OUYANG Haitao; WEI Kaikai
Department of General Surgery,the Second Affiliated Hospital of Anhui Medical University,Anhui Hefei 230601,China.
Keywords:
gastric cancer; intelligent pneumoperitoneum; laparscope; radical gastrectomy; elderly
PACS:
R735.2
DOI:
10.3969/j.issn.1672-4992.2024.21.015
Abstract:
Objective:To explore the application value of AirSeal intelligent pneumoperitoneum system in laparoscopic assisted radical gastrectomy for elderly patients.Methods:A retrospective cohort study was conducted to collect the clinical data of 60 elderly patients undergoing laparoscopic-assisted radical gastrectomy for gastric cancer in the hospital from March 2020 to October 2022.The AirSeal intelligent pneumoperitoneum system and traditional pneumoperitoneum equipment were used in 30 patients in each group.The operation time,subcutaneous emphysema,number of lymph nodes,hospitalization time,hospitalization expenses and postoperative complications were compared between the two groups.Results:All patients completed the operation and there were no perioperative deaths.The laparoscopic operation time was shorter in AirSeal pneumoperitoneum group［(120.1±31.6)min vs (130.7±34.2)min,P=0.01］.There was no statistically significant difference between the two groups in open surgery time(P>0.05).Compared with the traditional pneumoperitoneum group,the CO2 pneumoperitoneum pressure in the AirSeal pneumoperitoneum group was lower［(11.7±2.2)mmHg vs (13.9±1.1)mmHg］,and the number of cases of subcutaneous emphysema was also less(0 vs 6),the difference between the two groups was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss,number of lymph node dissection,hospitalization time,hospitalization cost and postoperative pulmonary infection between the two groups(P>0.05).Conclusion:The use of AirSeal intelligent pneumoperitoneum system is conducive to the completion of laparoscopic assisted radical gastrectomy under lower CO2 pneumoperitoneum pressure,reducing the occurrence of subcutaneous emphysema during operation,and has certain clinical application value for improving the safety of laparoscopic surgery in elderly patients with gastric cancer.

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Memo

Memo:
安徽医科大学第二附属医院转化医学研究科研基金项目(编号:2022ZHYJ15)；安徽医科大学校科研基金项目(编号:2022xkj171)
Last Update: 2024-09-30