Abstract:
Objective To explore the effect of laparoscopic radical gastrectomy for gastric cancer in patients with gastric cancer, the safety and long-term prognosis.
Methods Selected 190 patients who underwent radical gastrectomy for gastric cancer between January 2011 and December 2013 were retrospectively analyzed, according to the operation mode, 98 cases were divided into laparoscopic group and 92 cases by laparotomy (laparotomy group), data analysis was carried out by SPSS16.0, and operation related indexes were compared by mean±standard deviation statistical description, and t test was used; The complication rate and the 3 year survival rate were compared by χ2 test, and the survival time was analyzed by Kaplan-meier method. The P<0.05 indicated that the difference was statistically significant.
Results The operation time of laparoscopic group of patients than the laparotomy group (P<0.05); the laparoscopic group of patients with surgical incision length, bleeding volume, anal exhaust time, postoperative analgesic use, hospitalization time, gastrointestinal decompression time were lower than the traditional group (P<0.05), there was no significant difference in the number of lymph nodes and the number of positive lymph nodes between the two groups (P> 0.05); The operative complication in laparoscopic group was 12.2% lower than that in open group 25.0% (χ2 = 5.137, P=0.023 <0.05). The median 3-year survival rate was 52.5% in the laparoscopic group and 60.5% in the laparotomy group; The mean median time of laparoscopic group was 31.2 months lower than that of the laparotomy group 32.6 months, the difference was not statistically significant (P>0.05).
Conclusion Laparoscopic radical gastrectomy of gastric cancer compared with the traditional open surgery has a low degree of trauma, postoperative recovery quickly, less complications, while the surgical effect is basically the same.
Key words:
Stomach Neoplasms,
Laparoscopy,
Lymph Nodes,
Prognosis
Shijun Chen, Yongqiang Wang, Wenneng Liu, Wei Zhang. Clinical effect and prognosis of laparoscopic radical mastectomy for gastric[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(02): 133-136.