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目的对比研究腹腔镜胃癌根治术与传统开腹胃癌根治术治疗胃癌的临床疗效。方法 66例胃癌患者,根据手术方式分为腹腔镜组(给予腹腔镜下胃癌根治术)与传统开腹组(给予传统开腹胃癌根治术),每组33例。观察对比两组患者的术中出血量、胃肠道恢复时间、住院时间、手术时间及1年无瘤生存率、并发症发生率、远处转移率。结果腹腔镜组患者的术中出血量、胃肠道恢复时间、住院时间均少于传统开腹组,但手术时间长于传统开腹组,差异均具有统计学意义(P<0.05)。腹腔镜组患者1年无瘤生存率90.91%、并发症发生率9.09%、远处转移率3.03%,均优于传统开腹组的66.67%、30.30%、24.24%,差异有统计学意义(P<0.05)。结论腹腔镜胃癌根治术较传统开腹手术临床疗效较为显著,可显著改善患者的术中出血量、胃肠道恢复时间、住院时间等指标,可在临床推广和应用。
Objective To compare the clinical effects of laparoscopic radical mastectomy with conventional open radical gastrectomy in the treatment of gastric cancer. Methods Sixty-six gastric cancer patients were divided into laparoscopic group (laparoscopic radical gastrectomy) and traditional laparotomy group (33 cases). The blood loss, gastrointestinal tract recovery time, hospitalization time, operation time and 1-year disease-free survival rate, complication rate and distant metastasis rate were observed and compared between the two groups. Results The intraoperative blood loss, gastrointestinal recovery time and hospital stay in laparoscopic group were less than those in traditional laparotomy group. However, the operation time was longer than that in laparotomy group (P <0.05). The one-year disease-free survival rate was 90.91% in patients with laparoscopic surgery, the incidence of complications was 9.09%, the distant metastasis rate was 3.03%, which was superior to 66.67%, 30.30% and 24.24% of the traditional laparotomy group, the difference was statistically significant P <0.05). Conclusion The clinical effect of laparoscopic radical gastrectomy is more obvious than traditional laparotomy. It can significantly improve the intraoperative blood loss, gastrointestinal tract recovery time and hospital stay, which can be widely applied in clinic.