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目的通过对比腹腔镜与开腹远端胃癌根治术的近期疗效,探讨研究腹腔镜辅助下胃癌根治术可行性、根治性与安全性。方法选取2012年03月-2012年08月在我院行胃癌根治术患者30例,其中腹腔镜远端胃癌根治术(实验组)12例,开腹远端胃癌根治术(对照组)18例,对比分析两组的治疗效果与并发症。结果实验组手术时间稍长于对照组(P>0.05);两组患者淋巴结清扫数相似(P>0.05);但实验组患者出血量、术后排气时间及术后住院天数均少于对照组(P<0.05)。实验组并发症少于对照组。结论腹腔镜远端胃癌根治术与传统的开腹远端胃癌根治术有相同的疗效,具有创伤小、出血量小、恢复快、根治性好、并发症少等优点,值得临床上进一步推广。
Objective To investigate the feasibility, radicality and safety of laparoscopic-assisted radical gastrectomy for gastric cancer by comparing the short-term efficacy of laparoscopic versus open radical gastrectomy for gastric cancer. Methods Thirty patients who underwent radical gastrectomy in our hospital from March 2012 to August 2012 were selected. Among them, 12 patients underwent radical laparoscopic radical gastrectomy (experimental group) and 18 patients underwent open radical gastrectomy (control group). , Comparative analysis of the treatment effect and complications of the two groups. Results The operative time of the experimental group was slightly longer than that of the control group (P>0.05). The number of lymph node dissections was similar between the two groups (P>0.05). However, the amount of blood loss, postoperative evacuation time and postoperative hospital stay in the experimental group were all less than those in the control group. (P<0.05). The experimental group had fewer complications than the control group. Conclusion The laparoscopic distal radical gastrectomy has the same efficacy as the traditional open radical gastrectomy for gastric cancer. It has the advantages of less trauma, less bleeding, rapid recovery, good curative effect and less complications. It is worthy of further promotion in clinical practice.