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目的对比分析腹腔镜与开腹胃癌根治术治疗进展期胃癌的临床效果。方法 40例进展期胃癌患者,随机分为观察组和对照组,各20例。观察组给予腹腔镜胃癌根治术治疗,对照组给予开腹胃癌根治术治疗,对比两组的手术疗效和不同时间段的存活率。结果观察组的手术时间、切口长度、术中出血量、术后排气时间及住院时间均优于对照组,差异有统计学意义(P<0.05)。另外,观察组治疗后6个月的存活率为95.00%、12个月的存活率为90.00%、24个月的存活率为80.00%,均高于对照组的70.00%、60.00%、50.00%,差异有统计学意义(P<0.05)。结论与开腹胃癌根治术相比,腹腔镜胃癌根治术在缩短手术时间、改善患者预后和延长存活期等方面更具优势,值得推广。
Objective To compare the clinical effects of laparoscopy and open radical gastrectomy in the treatment of advanced gastric cancer. Methods Forty patients with advanced gastric cancer were randomly divided into observation group and control group, with 20 cases in each group. The observation group was treated with laparoscopic radical gastrectomy and the control group with laparoscopic radical gastrectomy. The curative effect and survival rate of the two groups were compared. Results The operation time, incision length, intraoperative blood loss, postoperative exhaust time and hospital stay in the observation group were all better than those in the control group (P <0.05). In addition, the survival rate of the observation group after 6 months of treatment was 95.00%, the survival rate at 12 months was 90.00% and the survival rate at 24 months was 80.00%, which were all higher than 70.00%, 60.00% and 50.00% of the control group , The difference was statistically significant (P <0.05). Conclusion Compared with radical gastrectomy for laparoscopic radical gastrectomy, laparoscopic radical gastrectomy is more advantageous in shortening operative time, improving patient prognosis and prolonging survival period, which is worthy of promotion.