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目的探析腹腔镜辅助与传统开腹根治性全胃切除术并D2淋巴结清扫治疗进展期胃癌的临床效果。方法 100例进展期胃癌患者,将其随机分为对照组和观察组,每组50例。对照组给予开腹根治性全胃切除术并D2淋巴结清扫治疗,而观察组则运用腹腔镜辅助全胃切除术并D2淋巴结清扫治疗。对两组的治疗效果进行比较。结果两组在贲门区域、围腹腔干区域以及大小弯侧的淋巴结清扫数量比较,差异无统计学意义(P>0.05);与对照组相比,观察组在幽门区域和脾门区域的淋巴结清扫数量较多,且术中出血量少、术后肛门排气时间短,比较差异均有统计学意义(P<0.05)。结论临床上运用腹腔镜辅助根治性全胃切除术治疗进展期胃癌,不仅可以获得较好的疗效,还能彻底清扫淋巴结,降低复发率,值得临床广泛应用。
Objective To investigate the clinical effect of laparoscopic-assisted and traditional radical total gastrectomy combined with D2 lymph node dissection in the treatment of advanced gastric cancer. Methods 100 patients with advanced gastric cancer were randomly divided into control group and observation group, 50 cases in each group. The control group received radical gastrectomy and D2 lymph node dissection, while the observation group received laparoscopic total gastrectomy and D2 lymph node dissection. The treatment effect of the two groups were compared. Results There was no significant difference in the number of lymphadenectas in the cardia area, peritoneal cavity area and the size of the lesion (P> 0.05). Compared with the control group, lymph node dissection in the pyloric and splenic areas The number of bleeding was less and the duration of postoperative anal exhaust was shorter. There were significant differences between the two groups (P <0.05). Conclusions The clinical use of laparoscopic radical total gastrectomy in the treatment of advanced gastric cancer can not only achieve better curative effect, but also thoroughly clean the lymph nodes and reduce the recurrence rate, which is worthy of clinical application.