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目的探讨腹腔镜与开腹胃癌根治术的临床疗效,对两种治疗手段的临床效果进行对比。方法选取42例胃癌患者,随机分为观察组和对照组各21例,观察组行腹腔镜根治术治疗,对照组行开腹胃癌根治术治疗。记录两组患者的术后疼痛时间、术后排气时间、流质半流质进食时间、手术出血量及术后并发症等。并对两组患者的手术效果和各项指标进行对比分析。结果腹腔镜胃癌根治术的手术时间较长,但其术后住院时间短,手术出血量更少,术后肠道功能恢复快,流质半流质进食时间早,清扫淋巴结的数量更多。观察组术后并发症发生率为4.76%,对照组的术后并发症发生率为14.28%,两组比较差异有统计学意义(P<0.05)。结论腹腔镜胃癌根治术是安全有效的手术方式,具有并发症少和术后恢复快的优点,值得推广使用。
Objective To investigate the clinical efficacy of laparoscopic and open radical gastrectomy for gastric cancer and to compare the clinical effects of the two treatments. Methods Forty-two patients with gastric cancer were randomly divided into observation group (21 cases) and control group (21 cases). The observation group was treated by laparoscopic radical mastectomy. The control group was treated by radical gastrectomy. Record the postoperative pain time, postoperative exhaust time, liquid semi-liquid feeding time, the amount of surgical bleeding and postoperative complications. And the two groups of patients with surgical results and various indicators of comparative analysis. Results The operation time of laparoscopic radical gastrectomy for gastric cancer was longer, but its postoperative length of hospitalization was shorter, the amount of bleeding was less, the intestinal function recovered quickly, the time for semi-liquid food intake was earlier, and the number of lymphatic nodes was more. The incidence of postoperative complications in the observation group was 4.76%, while the incidence of postoperative complications in the control group was 14.28%. There was significant difference between the two groups (P <0.05). Conclusions Laparoscopic radical gastrectomy is a safe and effective surgical procedure, with the advantages of less complications and quick recovery after operation, and is worth promoting.