完全腹腔镜与腹腔镜辅助进展期远端胃癌根治术的临床对照研究

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Abstract Objective To make a comparative analysis of the clinical effectiveness of application of complete laparoscopy and laparoscopy-assisted radical distal gastrectomy in treatment of gastric carcinoma.Methods Altogether 90 cases of gastric carcinoma patients who had been treated from January 2012 to January 2015 in the hospital were selected and randomly divided into Control Group and Observation Group with 45 cases in each group.Control Group were treated with laparoscopy-assisted radical distal gastrectomy；while，the patients in Observation Group were treated with complete laparoscopy.The intra-operation and post-operation indexes of patients in both groups were compared. Results Observation Group showed significantly less intra-operative blood loss［（188.03±23.45）ml vs（234.86±32.45）ml］and shorter incision［（3.46±0.97）cm vs（6.37±1.14）cm］than Control Group with statistically significant（P＜0.05）. There were no statistical significance（P＞0.05）between Observation Group and Control Group in the operation duration and number of lymph nodes.The hospitalization time［（10.03±2.24）d］，postoperative exsufflation time［（2.34±0.67）h］，the first time of getting out of bed after surgery［（1.24±0.32）d］of Observation Group were significantly shorter than those of Control Group　［（15.78±3.62）d，（4.37±0.97）h and　（2.89±0.43）d］.Conclusion As a safe and reliable surgical method with fewer traumas，the complete laparoscopy shows remarkably greater effectiveness than the laparoscopy-assisted radical distal gastrectomy in treatment of gastric carcinoma，which deserves wider clinical promotion.

Key words： Complete laparoscopy Laparoscopy-assisted Radical distal gastrectomy surgery Clinical contrast

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CHEN Ya-guang. A comparative study of clinical effectiveness of application of complete laparoscopy and laparoscopy-assisted radical distal gastrectomy in treatment of gastric carcinoma[J]. 中国当代医药, 2016, 23(17): 44-46.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I17/44

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