| BackgroundGastric cancer is one of the most common gastrointestinal malignancy, at present the treatment still is first selection with surgical resection and primary treatment, including open radical surgery is a traditional treatment, but its because long incision, patients with traumatic big, slow recovery and so on shortcomings can not meet the growing demand. With laparoscopic surgical technology becoming more mature, mild trauma, rapid recovery and laparoscopic surgery "minimally invasive" more advantages, such as laparoscopic technology applied in the surgical treatment of gastric cancer has been widely used in clinical. From the first Japanese scholars Kitano is equal to the laparoscopy for the treatment of early gastric cancer in 1994, took the lead to 1997 Goh, etc to complete the treatment of advanced gastric cancer laparoscopic surgery, laparoscopic gastric cancer radical surgery has gradually began to apply to gastric cancer surgery, and has obtained good recent effect. At the same time with the improvement of the progress of the laparoscopic instruments and laparoscopic technique, at present more and more be applied laparoscopic gastric cancer radical’t roll over the treatment of gastric cancer, and studies have confirmed a laparoscopic distal gastric resection and D2 lymph node cleaning the feasibility and safety for the treatment of advanced gastric cancer. But because of the space limitations of laparoscopic operation, makes some regional lymph node cleaning is difficult, and to the operation of the performer laparoscopic gastric cancer radical level the demand is higher, the laparoscopic radical full stomach surgery, not as a routine procedure promotion, its efficacy, safety, feasibility remains controversial.ObjectiveTo investigate the feasibility and security of laparoscopic-assisted radical total gastrectomy,By comparing the Laparoscopic-assisted radical total gastrectomy and open gastrectomy for gastric cancer.MethodsA retrospective analysis was made on 60 patients with gastric cancer, who received laparoscopic-assisted radical total gastrectomy or open gastrectomy in our hospital between September of 2013 to September of 2015.30 patients received laparoscopic-assisted and others received open gastrectomy. The related indexes of surgery, operation time, intraoperative blood loss, clinicopathological characteristics, postoperative recovery time of gastrointestinal function and hospital stay between the two groups were compared and analyzed.ResultsThere were no differences in general indexes and clinicopathological characteristics(p>0.05). Operation time of laparoscopic group was longer than that of open group(p<0.05), the indexes of the length of incision,volume of blood loss,postoperative beginning eating time and hospital stay of laparoscopic group was lower than that of open group(p<0.05).ConclusionsThe Laparoscopic-assisted radical total gastrectomy has the advantages of less trauma,less bleeding and quick recovery, so it is safe and effective for gastric cancer. |
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