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目的探讨采用腹腔镜胃癌根治术治疗早期胃癌的疗效。方法 70例早期胃癌患者,随机分为A组和B组,各35例。B组患者采用开腹胃癌根治术治疗,A组患者采用腹腔镜胃癌根治术治疗。对比两组患者的术中、术后情况以及并发症发生率。结果 A组患者的手术时间为(182.3±50.4)min、肝门排气时间为(2.01±0.04)h、住院时间为(9.28±0.26)d、短于B组患者的(221.7±53.6)min、(4.21±1.26)h、(11.40±0.52)d(P<0.05);A组术中出血量为(164.5±52.5)ml、少于B组的(253.6±68.9)ml(P<0.05);A组并发症发生率(2.9%)低于B组(20.0%),差异具有统计学意义(P<0.05)。结论采用腹腔镜胃癌根治术治疗早期胃癌取得的临床效果显著,患者的术中出血量较少,手术时间、肛门排气时间以及住院时间短,值得在临床应用中大力推广和使用。
Objective To investigate the effect of laparoscopic radical gastrectomy for early gastric cancer. Methods Seventy patients with early gastric cancer were randomly divided into group A and group B, 35 cases each. Patients in group B were treated with open radical resection of gastric cancer, while patients in group A were treated with laparoscopic radical resection of gastric cancer. Compare the two groups of patients during surgery, postoperative conditions and the incidence of complications. Results The operation time of group A was (182.3 ± 50.4) min, and the time of hilar exhaust was (2.01 ± 0.04) h, and the length of hospital stay was (9.28 ± 0.26) d, which was shorter than that of group B (221.7 ± 53.6) min , (4.21 ± 1.26) h and (11.40 ± 0.52) d respectively (P <0.05). The intraoperative blood loss in group A was (164.5 ± 52.5) ml less than that in group B (253.6 ± 68.9) ml The incidence of complications in group A (2.9%) was lower than that in group B (20.0%), the difference was statistically significant (P <0.05). Conclusion The clinical effect of laparoscopic radical gastrectomy in the treatment of early stage gastric cancer is significant. The patients have less intraoperative blood loss, shorter operative time, shorter anus exhaust time and shorter hospital stay, which are worth popularizing and being used in clinical application.