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.
ZHANG Shijie
,
FANG Wanqiang
. Comparative analysis on laparoscopy-assisted distal gastrectomy and laparotomy for gastric cancer[J]. Surgical Research and New Technique, 2019
, 8(1)
: 7
-9
.
DOI: 10.3969/j.issn.2095-378X.2019.01.003
[1] 管傲然,李逊,赵维山,等.腹腔镜与开腹根治手术治疗进展期远端胃癌的临床应用[J].昆明医科大学学报, 2017,38(2):120-123.
[2] 汤兴华,刘雄,章宜兰,等.腹腔镜辅助下远端胃癌D2根治术治疗进展期胃癌的疗效及安全性[J].中国肿瘤临床与康复, 2015,22(6):656-658.
[3] 刘宝剑,贾光伟.腹腔镜辅助和开腹D2根治术治疗进展期远端胃癌的临床分析[J].实用癌症杂志, 2018,33(06):968-970.
[4] 中华医学会外科学分会腹腔镜与内镜外科学组.腹腔镜胃癌手术操作指南(2007版)[J].中华消化外科杂志, 2007,6(6):476-480.
[5] 马有伟,刘宏斌,韩晓鹏,等.毕Ⅱ式联合Braun吻合与单纯毕Ⅱ式吻合在全腹腔镜下远端胃癌根治术中的疗效比较[J].中国普外基础与临床杂志, 2016,23(3):311-314.
[6] 沈海龙,狄长安,朱江.微创根治手术对进展期胃癌患者的近期和远期效果的影响[J].世界华人消化杂志, 2015,23(3):432-437.
[7] 丁德胜.腹腔镜辅助下远端胃癌D2根治术治疗进展期胃癌的疗效分析[J].中华全科医学, 2016,14(8):1325-1326.
