| Background and PurposeIn recent years, with the rapid development of laparoscopic techniques, laparoscopicinstruments constantly upgrading, minimally invasive laparoscopic surgical technologyas an important surgical technique in clinical practice has been widely used. This articleaims to cure short-term efficacy in advanced gastric cancer patients by comparing withthe traditional open laparoscopic-assisted analysis of gastric cancer,Laparoscopic-assisted gastrectomy for feasibility and short-term efficacy for aretrospective assessment.MethodOur hospital from July2012to December2013all patients with advanced gastriccancer surgery, the28cases of gastric cancer underwent laparoscopic assisted surgerywith the same period23cases of open radical gastrectomy routine as a control for2groups of patients with surgery, postoperative recovery, postoperative complications and radical tumor were analyzed retrospectively.ResultBoth of laparoscopic and open surgery group were successfully completed, the timeof laparoscopic group and open group operative was (292.68±29.59) min and (216.44±33.61) min,the laparoscopic surgery group was longer than visible abdominal, therewas significant difference between the two data sets (P <0.01).The postoperative time ofeating liquid food was (5.18±1.06) d and (5.78±1.24) d (P=0.066), postoperativeambulation time was (4.18±1.09) d and (4.83±1.30) d respectively (P=0.059), thesurgical indicators were compared laparoscopic group can be seen relative to thelaparotomy group have obvious advantages, but no significant difference between thetwo data sets (P>0.05). The blood loss of two groups was (218.21±83.22) ml and(283.04±95.46) ml (P=0.013), the average length of the incision was (6.07±0.72) cmand (19.87±1.06) cm (P <0.01), the number of applications were analgesics (1.57±0.84) times and (2.48±1.12) times (P=0.002), the postoperative hospital stay was(11.07±2.76) d and (13.35±2.42) d (P=0.003) seen these indicators laparoscopicgroup than the open group, the difference was statistically significant data (P <0.05).The latest version of the Japanese Gastric Cancer Treatment Guidelines [1] and theChinese gastric cancer treatment guidelines [2] recommend D2lymph node dissectionradical mastectomy as the standard type, and according to the tumor site and asked tochoose a different surgical lymph node dissection. The average number of lymph nodedissection for laparoscopy group is (19.39±2.03) pieces, and the open group is (18.13±2.55) pieces (P=0.054),there were no significant difference between the twogroups(P>0.05). Both of the two groups had arise surgery-related complications, in thelaparoscopy group a total of six cases of complications, including duodenal stumpfistula, one case of abdominal bleeding, abdominal distension one case, two cases ofpulmonary infection, anastigmatic fistula in one case, no gas abdominal complications;whereas the open group had abdominal bleeding one case, three cases of pulmonaryinfection, wound infection in one case, there were complications in patients improvedafter conservative treatment, both groups with no deaths, the data showed no significant difference (P>0.05)ConclusionLaparoscopy-assisted radical gastrectomy surgical treatment of advanced gastriccancer, compared with the tumor cure and open radical gastrectomy considerable, it issafe and feasible in terms of short-term effect, and its significant advantages ofminimally invasive. |
PDF Full Text Request