The Application Value of Laparoscopic Assisted Small Incision Radical Gastrectomy in Patients with Advanced Gastric Cancer
Objective To investigate the application value of laparoscope-assisted small incision radical gastrectomy in advanced gastric cancer patients.Methods 100 patients with advanced gastric cancer were selected as the study objects and di-vided into group A and group B by random number method,with 50 cases in each group.Group A received laparotomy radical gas-trectomy,group B received laparoscopically assisted small incision radical gastrectomy.Perioperative indexes(operation time,intr-aoperative blood loss,postoperative anal exhaust time,postoperative activity time and hospital stay),intraperitoneal micrometasta-sis indexes(dopa decarboxylase(DDC),carcinoembryonic antigen(CEA))and complications were compared between the 2 groups.Results The operation time,postoperative anal exhaust time,postoperative movement time and hospital stay time of group B were shorter than those of group A,and the intraoperative blood loss was less than that of group A,the difference was statistical-ly significant(P＜0.05).After treatment,DDC and CEA levels in 2 groups were significantly increased,but DDC and CEA levels in group B were lower than those in group A,the difference was statistically significant(P＜0.05).The incidence of complications in group B was lower than that in group A,and the difference was statistically significant(P＜0.05).Conclusion Laparoscope-assisted radical resection of gastric cancer with small incision can effectively improve perioperative indexes,regulate DDC and CEA levels in peritoneal flushing fluid,and reduce the risk of complications in patients with advanced gastric cancer.
Radical gastrectomy for gastric cancerComplicationsProgressive gastric cancer
万方数据
维普
