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目的观察腹腔镜辅助全胃切除术治疗胃癌的临床疗效。方法选取90例胃癌患者,其中46例行腹腔镜辅助全胃切除术治疗,44例患者行开腹全胃切除术治疗,比较两组患者手术治疗效果。结果与开腹全胃切除术组比较,腹腔镜辅助全胃切除术组患者手术时间明显延长,术后红细胞比容增加,手术失血量、术后首次排气时间、术后首次饮食时间、手术镇痛药用量和手术后住院时间均减少,差异具有统计学意义(P<0.05)。两组患者术后并发症发生率比较差异无统计学意义(χ2=0.178,P>0.05)。结论腹腔镜辅助全胃切除术治疗胃癌对术后并发症发生情况没有很好的改善,但其手术效果明显优于开腹全胃切除术,值得临床选择应用。
Objective To observe the clinical efficacy of laparoscopic total gastrectomy in the treatment of gastric cancer. Methods Totally 90 patients with gastric cancer were selected, of whom 46 patients underwent laparoscopic total gastrectomy and 44 patients underwent open gastrectomy. The surgical treatment effect was compared between the two groups. Results Compared with open total gastrectomy, laparoscopic total gastrectomy patients had significantly longer operation time, increased postoperative hematocrit, blood loss during operation, first postoperative exhaust time, first postoperative meal time, operation time The amount of analgesics and hospital stay after surgery decreased, the difference was statistically significant (P <0.05). There was no significant difference in postoperative complications between the two groups (χ2 = 0.178, P> 0.05). Conclusions Laparoscopic assisted total gastrectomy for gastric cancer does not improve the postoperative complications, but its effect is better than that of open gastrectomy, which is worthy of clinical application.