Abstract: Objective   To investigate the application value of regulative dualchannel digestive tract reconstruction in gastric cancer surgery.    Methods   A total of 82 patients with gastric cancer who underwent radical surgery were selected as the study subjects,the random digital table was divided into 41 cases in the control group and 41 in the observation group,RouxenY anastomosis was performed after gastrectomy in the control group,and regulative dualchannel digestive tract reconstruction was performed after gastrectomy in the observation group.The operation and postoperative recovery,the changes of gallbladder systolic function and nutritional status before and 3 months after operation,the incidence of postoperative complications of two groups were observed.  Results  Compared with the control group,the time of digestive tract reconstruction in the observation group was statistically significant(P<0.05),the differences in intraoperative blood loss,postoperative anus exhaust time,postoperative defecation time and postoperative hospital stay of two groups were not statistical significance(P>0.05).There was no significant difference in gallbladder contractile function and nutritional status between the two groups before operation(P>0.05),The fasting gallbladder volume,postmeal gallbladder volume,gallbladder contraction rate and thethe serum total protein(TP),hemoglobin(HGB)and albumin(ALB)levels in the observation group at 3 months after operation were compared with those of the control group at the same time,the difference was statistically significant(P<0.05).The incidences of postoperative pulmonary infection,anastomotic stenosis,and anastomotic bleeding in the observation group compared with the control group,the difference was not statistically significant(P＞0.05),the incidences of postoperative dumping syndrome,reflux esophagitis,and gallstones in the observation group compared with the control group,the difference was statistically significant(P<0.05).Conclusion  The application of regulative dualchannel digestive tract reconstruction in radical gastrectomy of gastric cancer can effectively improve the nutritional status of patients,has little effect on the contraction of gallbladder,and can significantly reduce postoperative complications,worth popularizing.
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