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目的:对比分析腹腔镜手术与开腹手术治疗胃癌的临床疗效。方法:以2010年2月-2014年4月在我院进行治疗的60例早期胃癌患者为对象,其中30例患者接受腹腔镜手术治疗,记为腔镜组;另外30例患者接受开腹手术治疗,记为开腹组,观察两组患者治疗的临床治疗效果。结果:腹腔镜手术治疗的时间明显较开腹手术时间长,差异具有统计学意义(P<0.05),但伤口长度较小,术后使用止痛剂的患者较少,差异具有显著统计学意义(P<0.05),另外腹腔镜手术患者的术中出血量少,肛门排气时间、进食时间、下床活动时间均较早,患者术后住院天数也较短,差异具有统计学意义(P<0.05)。两组患者临床清扫数目和术后并发症差异无统计学意义(P>0.05)。结论:腹腔镜胃癌根治术除手术时间较长以外,伤口长度,出血量,进食时间等均优于开腹手术组,且淋巴清扫与开腹手术基本无差异。
Objective: To compare the clinical efficacy of laparoscopic surgery and laparotomy in the treatment of gastric cancer. Methods: Sixty patients with early gastric cancer who were treated in our hospital from February 2010 to April 2014 were enrolled in this study. Thirty patients underwent laparoscopic surgery undergoing laparoscopic surgery and another 30 underwent laparotomy Treatment, recorded as open group, observed two groups of patients treated with clinical effects. Results: The time of laparoscopic surgery was significantly longer than that of laparotomy, the difference was statistically significant (P <0.05). However, the length of laparoscopic surgery was smaller and there were fewer patients who used analgesics after operation. The difference was statistically significant ( P <0.05). In addition, the patients who underwent laparoscopic surgery had less intraoperative blood loss, shorter anus exhaust time, feeding time and ambulation time, shorter days of hospitalization, and the difference was statistically significant (P < 0.05). There was no significant difference between the two groups in the number of clinical and postoperative complications (P> 0.05). Conclusion: In addition to laparoscopic radical gastrectomy for a long period of operation, the wound length, amount of bleeding, eating time and so on are superior to the open surgery group, and lymphadenectomy and laparotomy basically no difference.