Title: Comparison of clinical effect between open and laparoscopic D2 radical surgery for advanced gastric cancer
Abstract: Objective
To explore the clinical effect of laparoscopic radical gastrectomy (D2) and traditional open radical gastrectomy (D2) for advanced gastric cancer.
Methods
Retrospective analysis of 60 cases of advanced gastric cancertreated in our hospital from June 2015 to June 2017 years were performed, according to the different surgical methods, the patients were divided into two groups, 27 cases of laparotomy group were given traditional open stomach gastric cancer D2 radical gastrectomy, 33 cases of laparoscopic group were given laparoscopic D2 radical gastrectomy. The data were processed on the statistical software SPPSS18.0. The surgical related indicators, such as VAS scores and the overall health score were showed as (±s) standard deviation, and compared with independent t test, the complications were expressed with%, and compared with χ2 test, P<0.05 was statistically significant.
Results
The amount of bleeding, the recovery time of gastrointestinal function and the time of hospitalization in the laparoscopic group were better than those in the open group (P<0.05). The VAS score and the overall health score of the laparoscopic group were significantly better than those in the open group (P<0.05), and the total complication rate of the laparoscopic group was 6.1%, which was significantly lower than that of the laparotomy group (25.9%). The difference between the two groups was statistically significant (P<0.05).
Conclusion
Laparoscopic D2 radical gastrectomy for advanced gastric cancer is good and safe in the treatment of advanced gastric cancer. It is beneficial to relieve pain, improve the quality of life and less complications. It is worth popularizing.
Key words:
Stomach Neoplasms; Laparoscopy; Laparotomy; Comparative Effectiveness Research
Publication Year: 2018
Publication Date: 2018-12-26
Language: en
Type: article
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