腹腔镜胃癌D2根治术与传统开腹胃癌D2根治术的疗效与安全性比较

目的 比较研究腹腔镜胃癌D2根治术与传统开腹胃癌D2根治术的疗效与安全性.方法 选取本院2009年3月～2013年2月收治的406例胃癌患者作为研究对象,参照患者选取的手术方式将其分为腹腔镜组206例与开腹组200例,其中腹腔镜组胃癌患者行腹腔镜D2根治术,开腹组胃癌患者行传统的开腹D2根治术,比较总结两组患者的治疗效果与并发症发生情况.结果 腹腔镜组患者的手术治疗切口长度、术中出血量、术后恢复进程等方面与开腹组比较,差异有统计学意义（P＜0.05）.结论 两种手术治疗方法均能在早期治疗应用中获得良好的临床效果,但与传统的胃癌开腹手术相比,腹腔镜胃癌D2根治术手术创伤更小,且术后恢复快,并发症少,安全性更高.

Comparison on curative effect and safety between D2 dissection of gastric cancer with laparoscope and traditional laparotomy

Objective To compartive study the curative effect and safety between D2 dissection of gastric cancer with laparoscope and traditional laparotomy. Methods 406 cases of patients with gastric cancer treated in our hospital from March 2009 to February 2013 were selected as research objects.According to surgical method,they were divided into laparoscopy group （206 cases） and laparotomy group （200 cases）.Gastric cancer patients in laparoscopy group were giv- en laparoscopic D2 dissection,and gastric cancer patients in laparotomy group were given D2 dissection with traditional laparotomy,therapeutic effect and complications of patients in two groups were compared and summarized. Results The length of incision,bleeding volume,postoperative recovery process on patients of laparoscopy group compared with the laparotomy group,the difference was statistically significant （P〈0.05）. Conclusion Two methods of surgical treatment can obtain good clinical effect in early treatment.But compared with traditional laparotomy of gastric cancer,laparo- scopic D2 dissection has smaller surgical trauma,quicker postoperative recovery,fewer complications and higher saftey.