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目的探究腹腔镜辅助全胃切除术与开腹全胃切除术治疗胃癌的疗效及早期预后情况。方法 100例胃癌患者,随机分为观察组(腹腔镜下全胃切除术治疗方案)、对照组(开腹全胃切除术治疗方案),各50例。对两组患者使用不同治疗方案,比较治疗中两组患者出血情况、切口长度、各项指标和治疗后并发症情况。结果观察组患者中性粒细胞数目、白细胞数目、切口长度显著低于对照组(P<0.05);观察组患者肠道恢复时间、住院时间、术后首次排气时间及术后首次饮食时间显著低于对照组,手术时间明显高于对照组(P<0.05);观察组并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜下全胃切除术疗效可靠,术中出血量小、明显缩短住院时间、减少并发症,值得推广应用。
Objective To investigate the efficacy and early prognosis of laparoscopically assisted total gastrectomy and open total gastrectomy for gastric cancer. Methods 100 patients with gastric cancer were randomly divided into observation group (laparoscopic total gastrectomy) and control group (open total gastrectomy), 50 cases each. Different treatment plans were used for the two groups of patients. The hemorrhage, incision length, various indexes and post-treatment complications were compared between the two groups. Results The number of neutrophils, WBC count and incision length in the observation group were significantly lower than those in the control group (P<0.05). The intestinal recovery time, length of hospital stay, first postoperative time of discharge, and first postoperative diet time were significant in the observation group. Lower than the control group, the operation time was significantly higher than the control group (P <0.05); the total incidence of complications in the observation group was lower than the control group, the difference was statistically significant (P <0.05). [Conclusion] The laparoscopic total gastrectomy has reliable curative effect, less intraoperative blood loss, significantly shorter hospital stay, and fewer complications. It is worthy of popularization and application.