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目的:研究进展期胃癌给予胃癌D2根治术的腹腔镜治疗效果与安全性。方法:收治进展期胃癌患者84例,随机分为对照组与研究组各42例,分别为开腹胃癌D2根治术、腹腔镜胃癌D2根治术,对两组患者的肿瘤根治性、手术安全性及术后并发症进行分析。结果:研究组的切口长度、术后排气时间以及住院时长明显短于对照组(P<0.05),出血量则显著更少(P<0.05);研究组的术后并发症率显著低于对照组(P<0.05)。结论:进展期胃癌给予腹腔镜胃癌D2根治术具有创伤小、并发症少、恢复快的优势,安全性高,综合疗效明显更优。
Objective: To study the efficacy and safety of laparoscopic treatment of advanced gastric cancer with D2 radical operation. Methods: Eighty-four patients with advanced gastric cancer admitted to our hospital were randomly divided into control group and study group with 42 cases each. The patients underwent radical D2 surgery of laparoscopic gastric cancer and D2 radical surgery of laparoscopic gastric cancer respectively. And postoperative complications were analyzed. Results: The incision length, postoperative exhaust time and length of stay in the study group were significantly shorter than those in the control group (P <0.05), and the bleeding volume was significantly less (P <0.05). The postoperative complication rate was significantly lower in the study group Control group (P <0.05). Conclusion: The advanced gastric cancer with D2 radical surgery for laparoscopic gastric cancer has the advantages of less trauma, fewer complications and quicker recovery, and has higher safety and better overall curative effect.