Clinical observation of laparoscopic radical gastrectomy for advanced gastric cancer

• 作者: Ji-Guang Xie Jing Wang Jun-Jun Su Xiao-Xiao Yan Yong-Hong Dong
• 来源期刊: TMR肿瘤
• 学科: 医学
• 关键词: LAPAROSCOPIC RADICAL GASTRECTOMY OPEN RADICAL GASTRECTOMY Advanced GASTRIC cancer
• 年，卷（期）: 2019,（1）
• 页码范围: 151-156
• 页数: 6页
• 分类号: R

摘要

Objective: To explore the clinical efficacy of laparoscopic radical gastrectomy and traditional open radical gastrectomy for advanced gastric cancer. Methods: 116 patients with advanced gastric cancer in our hospital were randomly selected, including 55 cases in the experimental group and 61 cases in the control group. The clinical effects, CEA, CA-199, AFP and postoperative complications of the two groups were compared. Results: The indexes of operation and post-operation (average operation time, incision length, exhaust time, intraoperative bleeding volume, hospital stay, enteral nutrition time), and the total number of lymph nodes dissected in the experimental group was less than that in the control group (P < 0.05). There was no difference in CEA, CA-199 and AFP before operation and 1 month after operation. The incidence of complications in laparoscopic group was 9.1% lower than that in control group (27.9%). Conclusion: Laparoscopic radical gastrectomy has many advantages in the treatment of gastric cancer, which can effectively reduce complications and is worth promoting.