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目的探讨和研究腹腔镜辅助胃远端癌淋巴结清扫术的临床可行性以及近期疗效。方法回顾性分析我院进行D2淋巴结清扫术治疗的86例胃远端癌患者,其中采取常规开腹胃大部切除术者40例,采取腹腔镜辅助胃大部切除术者46例,对两组患者治疗效果进行评价分析。结果观察组和对照组手术所需时间、术中清扫淋巴结数量之间差异不显著(P>0.05);观察组患者的术中出血量、首次下床时间、肛门排气时间以及住院天数等均显著优于对照组(P<0.05)。结论腹腔镜辅助胃远端癌D2淋巴结清扫术能够与传统开腹胃大部切除术取得相同的治疗效果,但是在手术安全以及术后恢复等方面具有一定优势,不失为治疗胃远端癌淋巴结清扫术的行之有效的手术方案。
Objective To investigate and study the clinical feasibility and short-term curative effect of laparoscopic assisted distal gastric lymph node dissection. Methods A retrospective analysis of 86 patients with distal gastric cancer treated with D2 lymph node dissection in our hospital was performed. Among them, 40 patients underwent conventional radical mastectomy and 46 patients underwent laparoscopic assisted radical mastectomy. Group patients treatment effect evaluation analysis. Results There was no significant difference between the observation group and the control group in the time required for operation and the number of lymph nodes dissected during operation (P> 0.05). The mean amount of blood loss, initial bed-entry time, anal exhaust time and hospital stay in the observation group Significantly better than the control group (P <0.05). Conclusions Laparoscopic-assisted D2 distal lymph node dissection can achieve the same therapeutic effect as conventional open radical gastrectomy, but it has some advantages in surgical safety and postoperative recovery. It is an effective method for the treatment of distal gastric lymph node dissection Surgery effective surgical options.