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目的探讨分析远端胃癌腹腔镜D2根治术与传统开腹术的近期疗效。方法 70例胃癌患者,依据患者入院时间的先后顺序分为研究组(30例)与对照组(40例)。研究组患者采用远端胃癌腹腔镜D2根治术治疗,对照组患者采用传统开腹术治疗。比较两组患者淋巴结清扫个数、切口长度、术中出血量、手术时间、肛门排气时间、住院时间以及并发症发生情况。结果研究组患者切口长度短于对照组患者,术中出血量少于对照组患者,手术时间、肛门排气时间、住院时间均短于对照组患者,差异具有统计学意义(P<0.05);两组患者淋巴结清扫个数比较差异无统计学意义(P>0.05)。研究组患者术后并发症发生率为6.67%,明显低于对照组患者的25.00%,差异具有统计学意义(P<0.05)。结论应用远端胃癌腹腔镜D2根治术治疗胃癌与传统开腹术比较,远端胃癌腹腔镜D2根治术的临床近期疗效更高,手术并发症发生率更低,值得临床推广及应用。
Objective To investigate the short-term efficacy of laparoscopic radical D2 versus distal laparotomy for distal gastric cancer. Methods 70 cases of gastric cancer patients were divided into study group (30 cases) and control group (40 cases) according to the sequence of admission time. Patients in the study group were treated with laparoscopic D2 distal laparoscopic surgery and patients in the control group were treated with traditional laparotomy. The number of lymph node dissection, incision length, intraoperative blood loss, operation time, anal exhaust time, hospital stay and complication were compared between the two groups. Results The incision length was shorter in the study group than in the control group. The blood loss in the study group was less than that in the control group. The operative time, anal exhaust time and hospital stay were shorter than those in the control group. The difference was statistically significant (P <0.05). There was no significant difference in the number of lymph node dissection between the two groups (P> 0.05). The incidence of postoperative complications in the study group was 6.67%, which was significantly lower than that in the control group (25.00%), the difference was statistically significant (P <0.05). Conclusions Compared with conventional laparotomy, laparoscopic radical D2 distal laparoscopic surgery for distal gastric cancer has a higher clinical efficacy and lower complication rate in laparoscopic D2 distal laparoscopic surgery, which is worthy of clinical promotion and application.