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目的探讨使用腹腔镜辅助对于治疗进展期胃癌的临床应用价值。方法选取我院在2009年6月～2012年6月期间收治并确诊为进展期胃癌的患者120例,并将其随机分为两组,腹腔镜组60例患者施行腹腔镜辅助手术,对照组60例患者则施行开腹手术,对两组患者的术中出血量、手术时间、住院时间、术后排气时间、清扫淋巴结数、术后并发症及住院费用等指标进行比较。结果两组患者在清扫淋巴结数、手术时间及住院费用等方面比较,均无显著性差异,但术中出血量、术后排气时间、术后并发症及住院时间等方面的差异有统计学意义。结论使用腹腔镜治疗进展期胃癌具有出血量少、创伤小、恢复快等优点,与开腹手术治疗相比,近期优势明显,值得在临床上进行推广。
Objective To investigate the clinical value of using laparoscopy in the treatment of advanced gastric cancer. Methods A total of 120 patients with advanced gastric cancer admitted to our hospital from June 2009 to June 2012 were selected and randomly divided into two groups. Laparoscopy assisted surgery was performed in 60 patients in the control group Sixty patients underwent laparotomy to compare intraoperative blood loss, operation time, hospitalization time, postoperative exhaust time, number of lymph nodes dissected, postoperative complications and hospitalization costs. Results There was no significant difference in the number of lymph nodes dissection, operation time and hospitalization between the two groups, but the differences in blood loss, postoperative exhaust time, postoperative complications and hospital stay were statistically significant significance. Conclusion Laparoscopic treatment of advanced gastric cancer has the advantages of less bleeding, less trauma and faster recovery. Compared with laparotomy, laparoscopic surgery has obvious advantages in the near future and is worthy of clinical promotion.