目的 探究膜解剖指导精确手术理念在腹腔镜胃癌根治术中的临床效果。方法 选取广西壮族自治区贵港市人民医院自2022年1月—2024年1月收治的98例进展期胃癌患者作为研究对象,按照随机数字表法分为对照组和观察组,每组各49例。对照组行常规腹腔镜胃癌根治术治疗,观察组行膜解剖理论指导下腹腔镜胃癌根治术治疗,对比两组患者手术时间、术中出血量、淋巴结清扫数量、术后首次排气时间、住院时间、术后疼痛程度评分[采用视觉模拟评分法（visual analogue scale, VAS）评定]以及术后并发症发生率。结果 观察组患者手术时间长于对照组,术中出血量低于对照组,淋巴结清扫数量多于对照组,术后首次排气时间、住院时间均短于对照组,观察组患者术后VAS评分、并发症发生率均低于对照组,两组间比较,差异均具有统计学意义（P<0.05）。结论 膜解剖指导下精准手术理念在腹腔镜胃癌根治术的临床应用效果显著,可以显著减少术中出血,降低术后疼痛程度和并发症发生率,并促进患者术后恢复,值得应用和推广。
Objective To investigate the clinical effect of membrane anatomy guided precise surgical concept in laparoscopic radical gastrectomy for gastric cancer. Methods A total of 98 patients with advanced gastric cancer admitted to Guigang People's Hospital in Guangxi Zhuang Autonomous Region from January 2022 to January 2024 were selected as study subjects. They were randomly divided into a control group and an observation group, with 49 patients in each group. The control group received conventional laparoscopic radical gastrectomy treatment, while the observation group received laparoscopic radical gastrectomy treatment guided by membrane anatomy theory. The surgical time, intraoperative blood loss, number of lymph node dissection, first postoperative exhaust time, hospitalization time, postoperative pain score [by visual analogue scale （VAS）], and incidence of postoperative complications were compared between the two groups of patients. Results Compared with the control group, the surgery time of the observation group patients was longer, the intraoperative blood loss was lower, the number of lymph node dissections was higher, the first postoperative exhaust time and hospitalization time were shorter, the VAS score and incidence of complications were lower; the differences between the two groups were all statistically significant （P<0.05）. Conclusion The precise surgical concept guided by membrane anatomy has a remarkable effect on laparoscopic radical gastrectomy for gastric cancer, which can significantly reduce intraoperative bleeding, postoperative pain, and incidence of complications, and promote postoperative recovery of patients. It is worth applying and promoting.
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