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目的探讨腹腔镜辅助小切口胃癌根治术治疗进展期胃癌的可行性和安全性。方法将2009年1月至2010年1月在临汾市第四医院接受根治手术治疗的32例进展期胃癌患者随机分为两组,对照组16例行传统开腹根治术,观察组16例行腹腔镜辅助小切口根治术,对比观察两组的疗效及安全性。结果两组吻合方式和清扫淋巴结数目比较差异未见统计学意义(P>0.05),其余各项指标比较差异均有统计学意义(P<0.05)。结论腹腔镜辅助小切口胃癌根治手术治疗进展期胃癌安全可行,且手术近期疗效满意,值得临床广泛应用。
Objective To investigate the feasibility and safety of laparoscopic assisted small incision radical gastrectomy in the treatment of advanced gastric cancer. Methods Thirty-two patients with advanced gastric cancer who underwent radical surgery in the Fourth Hospital of Linfen City from January 2009 to January 2010 were randomly divided into two groups. In the control group, 16 cases underwent conventional radical mastectomy and 16 cases in the observation group Laparoscopic assisted small incision radical mastectomy compared the efficacy and safety of the two groups. Results There was no significant difference in the anastomosis mode and the number of lymph nodes between the two groups (P> 0.05). There were significant differences between the other indexes (P <0.05). Conclusion Laparoscopic assisted small incision radical gastrectomy for advanced gastric cancer is safe and feasible, and the short-term effect of surgery is satisfactory, which is worth widely clinical application.