Comparison Of Short-term Clinical Efficacy Between Laparoscopic Gastric Cancer Operation And Laparotomy

Objective:To explore the short-term clinical effect between laparoscopic assisted radical gastrectomy and versus open radical gastrectomy and Da Vinci robot-assisted radical gastrectomy.Methods:Choose 185 patients diagnosed of gastric cancer in our hospital inpatient general surgery from January to December 2014,105 cases in male,80 cases in female, aged from 31 to 85 (55 ± 6)years, in which the laparoscopic-assisted gastrectomy 86 cases (laparoscopic group),99 cases of open radical gastrectomy (open group), Two groups of data are comparable.Compare the laparoscopic assisted with versus open radical gastrectomy in the short-term clinical effect. And Da Vinci robot-assisted radical gastrectomy Comparison Methods:from January 2014 to January 2016 the Court of General Surgery of gastric cancer diagnosed 90 patients,50 males and 40 females, aged 34～82 (52 ± 5) years, of which Da Vinci robot-assisted radical gastrectomy 45 cases (robot group), conventional laparoscopic radical gastrectomy 45 cases (laparoscopic group), two sets of data were comparable (P> 0.05); two groups of gastric cancer Short-term clinical effects of radical surgery.Results:Compared with the open group, laparoscopy group is different in diameter short incision [(5.8 ± 0.5)cm vs (14.1 ± 1.3) cm, P<0.05], long operating time [(190.9 ± 50.3)min vs (150.7 ±43.1) min, P<0.05], surgery in less bleeding [(107.3 ± 70.3)ml vs (158.3 ± 90.8) ml, P<0.05], postoperative discharge time is shorter [(3.0 ± 0.4)d vs(3.9±0.5)d, P<0.05],shorter feeding time [(3.7 ± 0.9) d vs (4.3 ± 0.7)d, P<0.05], shorter hospital stay [(9.6±3.4)d vs (12.2 ± 6.9) d, P<0.05], the gaps are significant (P<0.05). The number of lymph nodes resected groups [(26.4 ±7.5) vs (27.2±7.7), P> 0.05], number of positive lymph nodes [(3.0 ± 1.0) vs (3.0 ± 0.9), P>0.05], positive margin rate (1.16% vs 1.01%) and the incidence of postoperative complications (4.6% vs 5.0%) in the comparison, the gaps are not statistically significant (P>0.05). And laparoscopic-assisted radical gastrectomy compared robotic surgery group a long time [(230.7 ± 50.1) min vs (179.6 ± 44.8) min, P<0.05], less blood loss [(59.3 ± 33.6) ml vs (110.5±60.6)ml. P<0.05], postoperative discharge time is short [(3.0±0.4) d vs (2.4±0.3)d, P<0.05], eating shorter [(3.7±0.9) d vs (2.3±0.7) d, P<0.05], a shorter hospital stay [(9.6 ± 3.4) d vs (8.2 ± 3.1) d, P<0.05], the gap was statistically significant (P<0.05). Groups of lymph nodes resected [(27.3±6.9) vs (27.6±7.2), P>0.05], the number of positive lymph nodes [(2.0±1.0) vs (2.0±0.9), P> 0.05], the cutting edge The positive rate (0.0% vs 0.0%,) and the incidence of postoperative complications (4.4% vs 2.2%), the gap was not statistically significant (P>0.05)Conclusions:Traditional open radical gastrectomy surgery can remove the lesion completely, but has larger incision surgery, larger amount of bleeding, causing postoperative recovery slower. Laparoscopic assisted radical gastrectomy surgical trauma is small, so that patients recover faster after surgery, But the operation time longer.it is possible to obtain better short-term clinical results, has a clear advantage, But the operation time is longer. Da Vinci robot-assisted laparoscopic radical gastrectomy has with the same safety and feasibility of laparoscopic surgery and also less than the amount of bleeding, postoperative recovery faster results, but there are also time-consuming, higher cost disadvantages.