Analysis Of The Effect Of Laparoscopic Assisted Radical Gastrectomy For Gastric Cancer In The Elderly

Objective To explore the safety and efficacy of laparoscopic radical gastrectomy for gastric cancer patients.Method The gastrointestinal surgery department of the First Affiliated Hospital of Xinjiang Medical University from January 2013 to June 2016 treated 104 elderly patients(> 65 years old)with gastric cancer and underwent D2 radical gastrectomy.Among them,56 cases underwent laparoscopic assisted radical gastrectomy and 48 cases underwent open radical gastrectomy.Result The bleeding volume in the endoscopic group was less than that in the laparotomy group.The time of first exhaust,the time of gastric tube drainage,the time of drainage and the length of stay after operation were all less than those in the open group.The difference was statistically significant(P < 0.05).The incidence of postoperative complications in the laparoscopy group was 12.5%,which was lower than that of the laparotomy group(16.7%),and the difference was statistically significant(P < 0.05).Operative time and preoperative complication are independent risk factors for postoperative complications.Conclusion Laparoscopy assisted radical gastrectomy for gastric cancer in the elderly can achieve the same radical effect as that of open surgery and has obvious minimally invasive advantages.Operative time and preoperative complication are independent risk factors for postoperative complications.