| Objective:To compare the efficacy and postoperative complications of laparoscopically assisted radical gastrectomy and open radical gastrectomy in elderly patients with gastric cancer,and to compare the safety,radical and feasibility of laparoscopically assisted radical surgery for gastric cancer.MethodAll the patients who participated in this study were elderly patients with gastric cancer(age≥ 65 years old)and received relevant surgical treatment in our hospital from January 2018 to May 2019.There were 84 patients,including 48 male patients and 36 female patients.According to the different surgical methods,the patients were divided into two groups.One group received laparoscopic-assisted radical gastrectomy for gastric cancer.There were 42 patients,including 25 males and 17 females.The other group received open radical gastrectomy for gastric cancer(n = 42),including 23 males and 19 females.The former was used as the study group(laparoscopy group)and the latter as the control group(laparotomy group).The patients in both groups were operated by the same experienced chief physician.Statistics of relevant surgical indicators,postoperative anal ventilation recovery time,postoperative incision infection,postoperative abdominal infection,postoperative anastomotic leakage and postoperative pain,etc.,with the corresponding statistical methods for statistical analysis,draw a conclusion.All the patients who participated in this study were elderly patients with gastric cancer(age≥ 65 years old)and received relevant surgical treatment in our hospital from January 2018 to May 2019.There were 84 patients,including 48 male patients and 36 female patients.According to the different surgical methods,the patients were divided into two groups.One group received laparoscopic-assisted radical gastrectomy for gastric cancer.There were 42 patients,including 25 males and 17 females.The other group received open radical gastrectomy for gastric cancer(n = 42),including 23 males and 19 females.The former was used as the study group(laparoscopy group)and the latter as the control group(laparotomy group).The patients in both groups were operated by the same experienced chief physician.Statistics of relevant surgical indicators,postoperative anal ventilation recovery time,postoperative incision infection,postoperative abdominal infection,postoperative anastomotic leakage and postoperative pain,etc.,with the corresponding statistical methods for statistical analysis,draw a conclusion.ResultsAccording to the relevant data,the average intraoperative blood loss,operation time,anal ventilation time and postoperative hospital stay in laparoscopy group were(125.35 ±29.26)ml,(201.91 ±34.65)min,(3.48 ±0.26)d and(8.51 ±0.29d),respectively.The mean intraoperative blood loss,operation time,anal ventilation time and postoperative hospital stay in the laparotomy group were(374.25 ±41.39)ml,(245.61 ±36.72)min,(4.75 ±1.09)d and(14.06 ±0.46)d,respectively.In terms of the number of lymph node dissection and positive lymph node,the average number of lymph node dissection was(21.46 ±8.21)in laparoscopy group,(2.59 ±1.06)in laparotomy group,(22.72 ±7.35)in laparotomy group and(2.75 ± 1.66)in laparotomy group.There was no significant difference in the number of lymph node dissection and the number of positive lymph nodes between the two groups(P > 0.05).In terms of pain score,the laparoscopy group was scored at 2 hours,12 hours and 24 hours after operation,and the results were(3.25 ± 0.49),(2.13 ± 0.26)and(1.12 ± 0.21),respectively.The pain scores of the laparotomy group were(5.93 ±0.84),(4.16 ±0.97)and(3.26 ±0.32)respectively,and the pain scores of the laparotomy group were(5.93 ±0.84),(4.16 ±0.97)and(3.26 ±0.32)respectively,and the pain scores of the laparoscopy group were(3.25 ±0.49),(2.13 ±0.26)and(1.12 ±0.21),respectively.The difference was statistically significant(p < 0.05).In terms of complications,the total incidence of postoperative complications in laparoscopy group and laparotomy group was 4.76% and 16.67% respectively,the difference was statistically significant(p < 0.05).ConclusionIn the surgical treatment of gastric cancer in the elderly,laparoscopic-assisted radical gastrectomy has the same effect as radical gastrectomy in terms of surgical efficacy and safety.It is superior to open radical gastrectomy in reducing intraoperative blood loss,shortening operation time,reducing postoperative pain,reducing postoperative complications and shortening hospital stay.It is a safe and feasible surgical method. |
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