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目的:比较腹腔镜D2根治术与传统开腹术治疗胃癌的近期和远期临床疗效。方法:将2005—2010年接受胃癌根治术的患者100例随机分为腔镜组和开腹组,分别接受腹腔镜D2根治术与传统开腹术治疗胃癌,比较两组患者的近期及远期临床疗效。结果:近期临床疗效显示,两组切口长度、手术时间、术中出血量、术后胃肠蠕动恢复时间、术后住院时间均有统计学差异(P<0.01或P<0.05);两组清扫的淋巴结数量无统计学差异(P>0.05)。远期临床疗效显示,两组患者1、2、3年和5年的无瘤生存率和总生存率差异无统计学意义(P>0.05)。结论:腹腔镜D2根治术治疗胃癌的近期临床疗效优于传统开腹术,远期临床疗效两者相似。
Objective: To compare the short-term and long-term clinical efficacy of laparoscopic radical D2 versus traditional open surgery in the treatment of gastric cancer. Methods: 100 patients who underwent radical gastrectomy between 2005 and 2010 were randomly divided into laparoscopic group and laparotomy group. Patients underwent D2 laparoscopic radical mastectomy and traditional laparotomy for gastric cancer. The short-term and long-term Clinical efficacy. Results: The recent clinical results showed that the length of incision, operation time, intraoperative blood loss, postoperative gastrointestinal peristalsis recovery time, postoperative hospital stay were significantly different (P <0.01 or P <0.05) There was no statistical difference in the number of lymph nodes (P> 0.05). The long-term clinical results showed that there was no significant difference between the two groups in no-tumor survival and overall survival at 1, 2, 3 and 5 years (P> 0.05). Conclusion: The short-term clinical efficacy of laparoscopic D2 radical mastectomy for gastric cancer is better than that of traditional open surgery. The long-term clinical curative effect is similar to that of laparoscopic D2 radical mastectomy.