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目的:探讨开腹手术与腹腔镜手术对早期胃癌治疗的近期疗效,并对两种手术方式进行对比及分析。方法:回顾性分析2013年1月-2014年12月期间在本院行胃癌根治术的89例早期胃癌患者,42例行腹腔镜胃癌根治术;47例行传统开腹胃癌根治术。观察并比较分析两组病例手术近期临床疗效。结果:两组患者术后疗效较好,腹腔镜组术中出血量、术后胃肠功能恢复时间、术后免疫功能恢复情况等指标优于开腹组,差异有统计学意义(P<0.05);手术时间腹腔镜组比开腹组长,差异有统计学意义(P<0.05),术中淋巴结清除数、术后1周内WBC计数两组差异无统计学意义(P>0.05)。结论:腹腔镜胃癌根治术和开腹胃癌根治术治疗早期胃癌均是安全、可行的,相对传统开腹手术,腹腔镜手术具有术后恢复快,创伤小等优势,具有良好的应用前景。
Objective: To explore the short-term curative effect of laparoscopic surgery and laparoscopic surgery on early gastric cancer and to compare and analyze the two surgical methods. Methods: A retrospective analysis of 89 cases of early gastric cancer undergoing radical gastrectomy in our hospital from January 2013 to December 2014 was conducted. Twenty-four patients underwent radical laparoscopic radical gastrectomy and 47 underwent conventional open radical gastrectomy. Observation and comparative analysis of two groups of patients with recent clinical curative effect. Results: The postoperative curative effect of the two groups was better, the bleeding volume in laparoscopic group, the recovery time of postoperative gastrointestinal function and the recovery of postoperative immune function were better than those in open group (P <0.05 ). There was no significant difference between the laparoscopic group and the open group in operation time (P <0.05), the number of lymph node removal in operation and WBC count within 1 week after operation (P> 0.05). Conclusions: Laparoscopic radical gastrectomy and open radical gastrectomy for early gastric cancer are safe and feasible. Compared with traditional laparoscopic surgery and laparoscopic surgery, laparoscopic surgery has the advantages of rapid recovery and less trauma, which has a good prospect of application.