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目的探讨腹腔镜辅助D_2根治术治疗进展期胃癌患者的临床效果。方法将130例进展期胃癌患者依据随机数字表法分为对照组和治疗组,各65例,对照组采取开腹D_2根治术,治疗组则采用腹腔镜辅助D_2根治术,比较2组患者的术中及术后指标、并发症发生率、1年内转移复发率及2年生存率等。结果治疗组患者的术中出血量、排气时间及住院时间均明显小于对照组(P<0.01);治疗组患者的并发症发生率为12%,明显低于对照组的29%(P<0.05);治疗组患者的1年转移复发率为3%,明显低于对照组的14%(P<0.05);治疗组患者的2年生存率为86%,明显高于对照组的68%(P<0.05)。结论进展期胃癌患者实施腹腔镜辅助D_2根治术,可减少术中出血量,促进患者恢复,降低并发症发生率和转移复发率,提高预后生存率。
Objective To investigate the clinical effect of laparoscopic-assisted radical d 2 in the treatment of patients with advanced gastric cancer. Methods 130 cases of advanced gastric cancer patients were divided into control group and treatment group according to random number table method, 65 cases in each group. The control group received laparoscopic radical d 2 radical mastectomy. The treatment group received laparoscopic radical D 2 radical mastectomy. Intraoperative and postoperative indicators, the incidence of complications, recurrence within 1 year and 2-year survival rate. Results The intraoperative blood loss, exhaust time and hospital stay of the treatment group were significantly less than those of the control group (P <0.01). The complication rate of the treatment group was 12%, which was significantly lower than that of the control group (29%, P < 0.05). The 1-year recurrence rate was 3% in the treatment group, which was significantly lower than that in the control group (P <0.05). The 2-year survival rate was 86% in the treatment group, which was significantly higher than 68% in the control group (P <0.05). Conclusions Laparoscopic assisted D 2 radical mastectomy in patients with advanced gastric cancer can reduce the intraoperative blood loss, promote the recovery of patients, reduce the incidence of complications and recurrence rate, and improve the prognosis survival rate.