论文部分内容阅读
目的:对腹腔镜下D2根治性手术治疗远端进展期胃癌的临床效果进行分析。方法:根据治疗方法不同将70例远端进展期胃癌患者分为对照组35例,观察组35例,对照组采用开腹D2根治术,观察组采用腹腔镜下D2根治性手术。结果:观察组手术时间多于对照组,术中出血量、肛门排气时间均少于对照组(P<0.05),差异具有统计学意义;两组患者并发症发生率、2年生存率比较(P>0.05),差异无统计学意义。结论:采用腹腔镜下D2根治性手术治疗远端进展期胃癌,能获取与开腹手术相同的治疗效果,且术中出血量及肛门排气时间减少,术后恢复较快,具有临床推广价值。
Objective: To analyze the clinical effect of laparoscopic D2 radical surgery for advanced gastric cancer. Methods: According to the different treatment methods, 70 patients with advanced gastric cancer were divided into control group (n = 35) and observation group (n = 35). The control group received laparoscopic radical D2 surgery and the observation group underwent laparoscopic D2 radical surgery. Results: The operation time of the observation group was more than that of the control group, and the amount of bleeding during operation and the time of anal exhaust were less than those of the control group (P <0.05). The difference was statistically significant. Complications and 2-year survival rates (P> 0.05), the difference was not statistically significant. Conclusion: The laparoscopic D2 radical surgery in the treatment of advanced gastric cancer can obtain the same therapeutic effect as open surgery, and the amount of intraoperative bleeding and anal exhaust time, postoperative recovery is rapid, with clinical promotion value .