Abstract：Objective To explore the effect of laparoscopic distal gastric cancer D2 radical surgery treating advanced gastric cancer.Methods A total of 84 patients with advanced gastric cancer who underwent surgical treatment in Anshan Tumor Hospital from April 2017 to April 2019 were selected as observation objects.The clinical data of the patients were retrospectively analyzed.According to the different treatment schemes,the patients were divided into control group (traditional open gastric cancer radical surgery) and observation group (laparoscopic distal gastric cancer D2 radical surgery),with 42 cases in each group.The surgical indexes,prognosis and postoperative complications of the two groups were analyzed.Results The operative time of patients in the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,and the anal exhaust time and hospital stay were shorter than those of the control group,with statistically significant differences (P＜0.05).There was no significant difference in the number of lymph node dissection between the two groups (P＞0.05).The total incidence of postoperative complications was 16.67% in the observation group and 19.05% in the control group,and there was no statistically significant difference between the two groups (P＜0.05).Conclusion The curative effect of laparoscopic distal gastric cancer D2 radical surgery for advanced gastric cancer is equivalent to that of traditional open gastric cancer radical surgery.Although the operation time is longer,the intraoperative blood loss of patients is less and the safety is higher.The laparoscopic distal gastric cancer D2 radical surgery can also accelerate the recovery of patients and shorten the hospitalization time of patients,which is worthy of clinical application.
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