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目的探讨腹腔镜辅助全胃切除术对胃癌的治疗效果,并与传统的开腹全胃切除术进行疗效比较。方法 62例胃癌全胃切除术患者,行腹腔镜辅助手术组28例,行传统开腹手术组34例,对比分析两组术中、术后和复发指标。结果两组患者手术时间、清扫淋巴结数目、术后发热天数及术后1年肿瘤复发情况比较,差异均无统计学意义(P>0.05)。而腹腔镜辅助手术组相比传统开腹手术组,术中出血量减少,术后排气时间、恢复流质饮食时间、下床活动时间、术后住院天数均明显缩短,差异均具有统计学意义(P<0.05)。结论与传统开腹手术相比,腹腔镜辅助全胃切除术在减少术中出血和促进术后恢复方面具有明显优势。
Objective To investigate the effect of laparoscopic total gastrectomy on gastric cancer and to compare with the traditional open total gastrectomy. Methods Totally 62 patients undergoing total gastrectomy for gastric cancer underwent laparoscopic assisted surgery group and 28 patients undergoing conventional laparotomy group. The intraoperative, postoperative and recurrence indexes were compared between the two groups. Results There were no significant differences in the operation time, the number of lymph nodes dissected, the number of fever days after operation and the tumor recurrence at 1 year after operation (P> 0.05). The laparoscopic-assisted surgery group compared with the traditional open surgery group, reduced blood loss, postoperative exhaust time, the recovery of liquid diet time, out of bed activity, hospitalization days were significantly shorter, the differences were statistically significant (P <0.05). Conclusion Compared with traditional laparotomy, laparoscopic total gastrectomy has obvious advantages in reducing intraoperative bleeding and promoting postoperative recovery.