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目的比较完全腹腔镜手术与腹腔镜辅助胃癌根治术治疗胃癌患者的临床效果。方法回顾性分析2009年2月-2012年11月来我院就诊治疗的102例胃癌患者,实验组42例采取完全腹腔镜手术,观察组60例采用腹腔镜辅助手术,观察统计两组患者的术后住院时间、肠道恢复时间、术中出血量及手术相关死亡率差异。结果两组患者均无手术相关死亡例数,手术相关死亡率均为0%;但实验组患者的术后住院时间、平均术中出血量、肠道恢复时间均较观察组有明显优势,P<0.05。结论完全腹腔镜手术与腹腔镜辅助手术治疗胃癌患者均有较为理想的临床疗效,但完全腹腔镜手术更加微创,更有利于患者的早期康复。
Objective To compare the clinical effects of complete laparoscopic surgery and laparoscopic-assisted radical gastrectomy in the treatment of patients with gastric cancer. Methods A total of 102 gastric cancer patients treated in our hospital from February 2009 to November 2012 were retrospectively analyzed. Twenty-two patients in the experimental group underwent complete laparoscopic surgery. Laparoscopy-assisted surgery was used in the observation group of 60 patients. Postoperative hospital stay, intestinal recovery time, intraoperative blood loss and surgery-related mortality differences. Results There was no operative-related deaths in both groups, and the operative-related mortality rate was 0%. However, the postoperative hospital stay, mean intraoperative blood loss and intestinal recovery time in the experimental group were significantly higher than those in the observation group, P <0.05. Conclusions Both complete laparoscopic surgery and laparoscopic assisted surgery in patients with gastric cancer have an ideal clinical efficacy, but complete laparoscopic surgery is more minimally invasive, more conducive to early rehabilitation of patients.