[目的]对比腹腔镜下手术与传统开腹手术在远端胃癌D2根治术治疗中的价值。[方法]50例远端胃癌患者分为对照组(即单纯开腹手术组)和试验组(即腹腔镜下手术组),每组均为25例。比较两组患者的手术时间和出血量,术后患者的恢复情况(包括排气时间、进食时间、下床时间、止痛药的使用情况)、患者的住院天数、手术切口长度、清扫淋巴结数、手术并发症等。[结果]试验组的手术时间(218.9±35.6)min长于对照组(168.1±23.9)min,但是术中出血量(129.3±56.1)ml少于对照组(180.0±23.1)ml。试验组术后恢复情况优于对照组:排气时间为(2.2±0.8)dvs(3.3±1.2)d;进食时间为(4.2±1.3)dvs(7.1±0.9)d;下床时间为(5.6±1.1)dvs(8.3±1.4)d。试验组的住院天数少,同时伤口长度小,均有统计学意义(P<0.05)。[结论]腹腔镜下行远端胃癌D2根治术,临床治疗效果明显优于传统开腹手术。 [Objective] To compare the value of laparoscopic surgery and conventional laparotomy in the treatment of D2 distal root canal cancer. [Method] Fifty patients with distal gastric cancer were divided into control group (ie, simple open surgery group) and experimental group (ie, laparoscopic surgery group), with 25 cases in each group. The operation time and blood loss, postoperative recovery (including exhaust time, feeding time, bed time, painkillers use), hospitalization days, surgical incision length, number of lymph nodes dissected, Surgical complications. [Results] The operative time of the experimental group (218.9 ± 35.6) min was longer than that of the control group (168.1 ± 23.9) min, but the intraoperative blood loss (129.3 ± 56.1) ml was less than that of the control group (180.0 ± 23.1) ml. The postoperative recovery of the experimental group was better than that of the control group: the exhaust time was (2.2 ± 0.8) dvs (3.3 ± 1.2) days; the eating time was (4.2 ± 1.3) dvs (7.1 ± 0.9) days; ± 1.1) dvs (8.3 ± 1.4) d. The number of days of hospitalization in the experimental group was small and the length of the wound was small, both of which were statistically significant (P <0.05). [Conclusion] D2 laparoscopic distal gastric cancer surgery, clinical treatment was significantly better than the traditional open surgery.