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目的:探讨高龄患者腹腔镜下远端胃癌根治术治疗胃癌的临床疗效。方法:选择我院2012年10月到2015年10月收治的33例高龄胃癌患者,采用计算机数字随机法分成对照组与观察组,对照组采用传统开腹手术治疗,观察组采用腹腔镜下远端胃癌根治术治疗,对比分析临床疗效。结果:观察组患者的手术时间、术中出血量、胃肠功能恢复时间与住院时间明显少于对照组,具有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,具有统计学意义(P<0.05)。观察组并发症发生率为5.88%,对照组并发症发生率为37.50%,观察组明显低于对照组(P<0.05)。结论:采用腹腔镜下远端胃癌根治术治疗高龄胃癌患者临床疗效佳,创伤小,患者恢复快,值得临床推广。
Objective: To explore the clinical efficacy of advanced laparoscopic radical gastrectomy for elderly patients with gastric cancer. METHODS: Thirty-three elderly patients with gastric cancer admitted in our hospital from October 2012 to October 2015 were selected and divided into a control group and an observation group using a computerized randomized method. The control group was treated with traditional laparotomy and the observation group was treated with laparoscopic surgery. Endoscopic gastrectomy for gastric cancer, comparative analysis of clinical efficacy. Results: The operative time, intraoperative blood loss, gastrointestinal function recovery time and hospitalization time were significantly lower in the observation group than in the control group (P<0.05). The incidence of postoperative complications was lower in the observation group than in the control group. Statistically significant (P<0.05). The incidence of complications was 5.88% in the observation group and 37.50% in the control group. The observation group was significantly lower than the control group (P<0.05). Conclusion: Laparoscopic radical gastrectomy for elderly patients with gastric cancer has good clinical efficacy, less trauma, and faster recovery. It is worthy of clinical promotion.