Observation On The Short-term Clinical Efficacy Of Laparoscopic Assisted D2 Radical Gastrectomy Treatment For Advanced Gastric Cancer

Objective: To evaluate the clinical application value of laparoscopic assisted radical operation for gastric cancer by comparing the therapeutic effect of D2 lymph node dissection between laparoscopic assisted and traditional open surgery.Methods: Retrospective analyze clinical parameters of 80 confirmed patients of advanced gastric cancer in Gastrointestinal Surgery Clinic of at the Department of Gastrointestinal Surgery of Qinghai University Affiliated Hospital,between October 2014 and November 2016,divide them in two groups: laparoscope group(40 cases)and open surgery group(40 cases),record the gender,age,body mass index,tumor location,surgical resection and postoperative staging of patients may affect the general data of this study,then observe the differences of bleeding volume,operation time,dissected lymph node number,postoperative exhaust time,postoperative extubation time,postoperative hospitalstay and complication rate between two groups.Results: There was no significant difference between the two groups in gender,age,BMI,tumor location,operation mode,postoperative pathological staging(P > 0.05).Compared with laparotomy group,there was no significant difference between the two groups(P <0.05).Compared with the laparotomy group,the laparoscopic group had the advantages of rapid ventilation,early extubation and short hospitalization(P <0.05).There were statistically significant differences in the three indexes.Compared with laparoscopic group,the operation time of laparoscopic group was significantly higher than that of open group(P <0.05),which was statistically significant.There was no significant difference in the number of lymph nodes and postoperative complications between the two groups(P> 0.05)Conclusion: The surgical treatment results of laparoscopic assisted radical operation for gastric cancer were the same as open surgery.Compared with open surgery,laparoscopic assisted radical operation for gastric cancer showed advantages in operative trauma,blood loss and postoperative recovery time.Laparoscopic assisted radical operation for advanced gastric cancer in the treatment of advanced gastric cancer is safe and feasible.