Comparative Study of Clinical Effect of Laparoscopic Radical Gastrectomy and Traditional Open
Gastrectomy

Abstract

Abstract:

Objective: To compare clinical results of gastric cancer patients undergoing laparoscopic radical and traditional open
gastrectomy. Methods: The clinical effect of 103 gastric cancer patients undergoing laparoscopic radical gastrectomy and traditional
open gastrectomy in Affiliated Hospital of Dali University from October 2010 to October 2013 were summarized and analyzed. Results:
Laparoscopic radical gastrectomy resulted in significantly less blood loss volume（153.05±11.71）mL vs.（278.45±12.65）mL,（P <
0.05）, less anal exsufflation time（3.10±0.62）d vs.（5.58±1.12）d,（P < 0.05）, shorter postoperative hospital stay（14.25±2.78）d
vs.（22.07±3.59）d,（P <0.05）and higher survival rate of one year（94.1% vs. 92.1%, P > 0.05）. Conclusion: Laparoscopic radical
gastrectomy enjoys advantages like less blood loss volume, less postoperative hospital stays, less postoperative complications and
favorable clinical effect comparing with open gastrectomy.

Key words: gastric cancer, laparoscopy, open gastrectomy, clinical effect, comparison

CLC Number:

R735.2

Li Meng, Shao Yu, Shu Wuying, Tan Yunbo. Comparative Study of Clinical Effect of Laparoscopic Radical Gastrectomy and Traditional Open
Gastrectomy[J]. J4, 2016, 1(4): 42-45.

References

〔1〕李荫山. 怎样提高早期胃癌的诊断率〔J〕. 现代肿瘤医学，
1997（1）：3-5.
〔2〕TAN Y K，FIELDING W L. Early diagnosis of early gastric
cancer〔J〕. Eur J Gastroeterol Hepatol，2006，18（8）：821-
829.
〔3〕GOH P M，KHAN A，SOJ B，et al. Early experience with
laparoscopic radical gastrectomy for advanced gastric can?
cer〔J〕. Surg laparoscopic Endosc percutan Tech，2001，11
（2）：83-87.
〔4〕郑民华，藏路. 腹腔镜胃癌根治术的现状〔J〕. 腹腔镜外
科杂志，2011，15（3）：161-163.
〔5〕SMITH D D，SCHWARZ R R，SCHWARZ R E. Impact of
total lymph node count on staging and survival after gastrec?
tomy for gastric cancer：date from a large US-population

database〔J〕. J Clinical，2005，23（28）：7114-7124.
〔6〕ETOH T，SHIRAISHI N，KITANO S. Laparoscopic gastrec?
tomy for cancer〔J〕. Digadis，2005，23（28）：113-118.
〔7〕黄昌明，陈建新，郑朝辉，等. 肥胖胃癌病人行腹腔镜与
开腹根治性手术临床疗效对比分析〔J〕.中国实用外科
杂志，2011，31（8）：681-683.
〔8〕FUKUNAGA T，HIKI N，TOKUNAGA M，et al. Left-sided
approach for suprapancreatic lymph node dis- section in
laparoscopy- assisted distal gastrectomy without duodenal
transection〔J〕. Gastric Cancer，2009，12（2）：106-112.
〔9〕SONG K Y，KIM S N，PARK C H. Laparoscopy-assisted
distal gastrectomy with D2 lymph node dissection for gas?
tric cancer：technical and oncologic aspects〔J〕. Surg En?
dosc，2008，22：655-659.
〔10〕LEE J H，YOM C K，HAN H S. Comparison of long-term
outcomes of laparoscopy·assisted and open distal gastrec?
tomy for early gastric cancer〔J〕. Surg Endosc，2009，23（8）：
1759.
〔11〕MOCHIKI E，KAMIYAMA，AIHARA R，et al. laparoscop?
ic assisted distal gastrectomy for early gastric cancer：five
years，experience〔J〕. Surgery，2005，137：317-322.
〔12〕赵庆洪，鲁明，张弛，等. 腹腔镜胃癌根治术与开放性胃
癌根治术的对比研究〔J〕. 临床肿瘤学杂志，2011，15
（5）：438-430.
〔13〕STRONG V E，DEVAUD N，ALLEN P J，et al. Laparo?
scopic versus open subtotal gastrectomy for ad-enocarci?
noma：a case-control study〔J〕. Ann Surg Oncol，2009，
16：1507-1513.

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