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目的对比腹腔镜手术与开腹手术治疗进展期胃癌临床效果。方法选取2014年4月—2015年4月収治的90例进展期胃癌患者,按照手术方式分为开腹组与腹腔镜组各45例,对比两组手术时间、术中出血量、术后下床活动时间、并发症发生率及随访1年内肿瘤复发率、转移率、生存率及病死率,数据采用SPSS18.0软件进行统计学处理。结果腹腔镜组较开腹组相比手术时间缩短,术中出血量较少,术后下床活动时间缩短,切口长度较小,差异均有统计学意义(P<0.05);腹腔镜组术后并发症发生率为6.67%,开腹组术后并发症发生率为20.00%,两组比较差异有统计学意义(P<0.05)。结论采用腹腔镜相比于开腹手术治疗进展期远端胃癌可缩短手术时间,减少术中出血量,降低并发症发生率,同时可获得相同的生存率。
Objective To compare the clinical effects of laparoscopic surgery and laparotomy in the treatment of advanced gastric cancer. Methods From April 2014 to April 2015, 90 patients with advanced gastric cancer admitted to our hospital were divided into open group and laparoscopic group according to the operation mode. Each group was divided into two groups: operation time, blood loss, Bed activity time, the incidence of complications and follow-up of tumor recurrence rate, metastasis rate, survival rate and mortality within 1 year, the data were analyzed by SPSS18.0 software. Results Compared with the laparotomy group, the laparoscopic group had shorter operation time, less intraoperative blood loss, shorter ambulation and shorter incision length, the difference was statistically significant (P <0.05). Laparoscopic group The incidence of postoperative complications was 6.67%. The incidence of postoperative complications in open group was 20.00%. There was significant difference between the two groups (P <0.05). Conclusion Laparoscopic surgery compared with laparotomy for advanced gastric cancer can shorten the operation time, reduce the amount of intraoperative bleeding, reduce the incidence of complications, and get the same survival rate.