目的 探讨远端胃癌微创根治术的临床治疗效果。方法 60例胃癌患者中,30例行腹腔镜辅助远端胃癌根治术(微创组),30例行常规开腹手术(开腹组)。比较两组手术临床指标、并发症及术后3年生存率。结果 微创组淋巴结清扫数及手术时间与开放组无明显差异,但微创组其他手术临床指标较开放组为优(P<0.01);微创组术后并发症与开腹组相比更少(P＜0.05)。术后3年生存率两组间差异无统计学意义(P>0.05)。结论 腹腔镜辅助远端胃癌根治术近期疗效较好,手术临床指标优于常规开腹手术。
Objective To explore the clinical effect of laparoscopy-assisted distal gastrectomy.Methods In 60 patients with gastric carcinoma, 30 patients were treated with laparoscopy-assisted distal gastrectomy, and the other 30 patients were treated with traditional laparotomy.The clinical indicies, complications, and three-year survival rate were compared between the two groups.Results The number of lymph node dissection and the time of operation in the laparoscopy group were not different from those of the laparotomy group, but the other indices were better (P<0.01).The complication rate in the laparoscopy group was less than that in the laparotomy group (P<0.05).There was no obvious difference in three-year survival rate between the two groups (P>0.05).Conclusion Laparoscopy-assisted distal gastrectomy could get better short-term effects with better clinical indices than laparotomy for gastric cancer.
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