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目的比较分析完全腹腔镜与腹腔镜两种不同手术方式在辅助胃癌根治手术治疗中的临床疗效,为临床应用上做出科学指导。方法 78例胃癌患者,采用腹腔镜辅助手术为对照组(48例),采用完全腹腔镜手术为观察组(30例)。观察比较两组患者临床疗效指标。结果观察组手术时间显著长于对照组(P<0.05),但观察组患者在术后镇痛天数、首次排便时间、首次饮食时间、首次下床活动时间、术后住院时间等均显著优于对照组,差异有统计学意义(P<0.05)。两组患者在术中出血量及术后并发症发生率上,差异无统计学意义(P>0.05)。结论与腹腔镜相比,完全腹腔镜辅助手术治疗手术时间更长,但是更有利于患者早期康复,可以在临床中选择性运用。
Objective To compare and analyze the clinical effects of total laparoscopic and laparoscopic two different surgical approaches in the treatment of radical surgery for gastric cancer and make scientific guidance for clinical application. Methods Totally 78 cases of gastric cancer patients were treated with laparoscopic assisted surgery (48 cases) and complete laparoscopic surgery (30 cases). The clinical efficacy of two groups were observed and compared. Results The operation time of the observation group was significantly longer than that of the control group (P <0.05), but the patients in the observation group had significantly better postoperative analgesia days, first defecation time, first meal time, first ambulation time and postoperative hospital stay Group, the difference was statistically significant (P <0.05). The two groups of patients in the amount of bleeding and postoperative complications, the difference was not statistically significant (P> 0.05). Conclusion Compared with laparoscopy, laparoscopic total laparoscopic surgery for a longer time, but more conducive to early rehabilitation of patients, can be selectively applied in the clinic.