目的探讨微创小切口胃癌根治术和传统的开腹手术治疗胃癌的疗效差异,寻求更优手术方法。方法 80例胃癌行经腹根治性手术患者为研究对象,随机分为微创组与传统组,比较两组患者手术时间、手术中出血量、术后康复情况(肛门排气时间、肠道功能恢复时间)、住院时间及术后并发症发生情况。结果微创组患者手术时间、手术中出血量均低于传统组患者,其差异有统计学意义(P<0.05);微创组患者术后康复情况(肛门排气时间、肠道功能恢复时间)以及住院时间均优于传统组,其差异有统计学意义(P<0.05);微创组术后并发症总发生率7.5%较传统组患者30.0%低,其差异有统计学意义(χ2=6.67,P<0.05)。结论微创小切口胃癌根治术相较于传统的开腹手术治疗,可以有效缩短手术时间、减少手术中出血量、促进患者术后康复、减少患者住院治疗时间及术后并发症的发生,值得广泛应用。 Objective To explore the difference between curative effect of minimally invasive small incision gastric cancer radical mastectomy and traditional laparotomy in the treatment of gastric cancer and to seek better surgical methods. Methods Eighty patients with gastric cancer who underwent radical surgery were randomly divided into minimally invasive group and traditional group. The operation time, blood loss during surgery, postoperative recovery (anal exhaust time, intestinal function recovery Time), hospital stay and postoperative complications. Results In the minimally invasive group, the operation time and blood loss during operation were significantly lower than those in the traditional group (P <0.05). The minimally invasive group (postoperative anal exhaust time, gut function recovery time ) And hospital stay were superior to the traditional group, the difference was statistically significant (P <0.05); the incidence of postoperative complications in the minimally invasive group was 7.5% lower than the traditional group of 30.0%, the difference was statistically significant (χ2 = 6.67, P <0.05). Conclusions Compared with the traditional laparotomy, minimally invasive radical gastrectomy for gastric cancer can shorten the operation time, reduce the amount of bleeding during operation, promote postoperative recovery and reduce the hospitalization time and postoperative complications. It is worthwhile widely used.