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目的分析腹腔镜辅助小切口胃癌根治手术治疗进展期胃癌的技术可行性和安全性。方法选择2014年2月至2015年9月期间我院收治的进展期胃癌患者84例作为研究对象,根据治疗方式的不同将患者分为对照组和观察组各42例,对照组患者采取传统开腹根治术,观察组患者采取腹腔镜辅助小切口胃癌根治术,对比分析两组的手术指标、Kamofsky评分及不良反应发生情况。结果观察组的治疗总有效率显著高于对照组(P<0.05)。与手术前比较,两组手术后的Kamofsky评分均显著降低(P<0.05),但手术前后组间比较均无统计学差异(P>0.05)。观察组的手术时间长于对照组(P<0.05),切口长度、术中出血量、并发症发生率均显著优于对照组(P<0.05),两组的清扫淋巴结数目无统计学差异(P>0.05)。结论进展期胃癌患者采用腹腔镜辅助小切口胃癌根治手术治疗,具有技术可行性,安全可靠,是一种有效术式,值得临床进一步推广使用。
Objective To analyze the technical feasibility and safety of laparoscopic assisted small incision radical gastrectomy for advanced gastric cancer. Methods Eighty-four patients with advanced gastric cancer who were treated in our hospital from February 2014 to September 2015 were selected as study subjects. According to the different treatment methods, the patients were divided into control group and observation group, 42 cases each. Patients in control group were treated by traditional method Radical surgery, the observation group of patients with laparoscopic-assisted small incision radical gastrectomy, comparative analysis of the two groups of surgical indicators, Kamofsky score and adverse reactions. Results The total effective rate of observation group was significantly higher than that of control group (P <0.05). The Kamofsky scores of both groups were significantly lower than those before operation (P <0.05), but there was no significant difference between before and after operation (P> 0.05). The operation time of the observation group was longer than that of the control group (P <0.05). The incision length, blood loss and complications were significantly higher in the observation group than those in the control group (P <0.05). There was no significant difference in the number of lymph nodes between two groups > 0.05). Conclusions Laparoscopic assisted small-incision radical gastrectomy is a feasible and safe technique for patients with advanced gastric cancer. It is an effective surgical procedure and is worth further promotion in clinic.