CAJ | 학술논문

目的：探讨腹腔镜下微创手术在胃癌治疗中的临床应用价值。方法将80例胃癌患者根据手术方式不同随机分为传统开腹组和腹腔镜组，观察并比较2组患者的手术治疗效果。结果腹腔镜组的手术切口、术中出血量、手术时间、肛门排气时间、肠道功能恢复时间和住院时间明显少于传统开腹组，差异有统计学意义（P＜0．05）；传统开腹组清扫淋巴结数量和腹腔镜组无明显差异（P＞0．05）；同时腹腔镜组的并发症情况也较少。结论腹腔镜下微创切除术治疗胃癌的疗效与开腹手术相近，而且创口小，术后恢复较快。
목적：탐토복강경하미창수술재위암치료중적림상응용개치。방법장80례위암환자근거수술방식불동수궤분위전통개복조화복강경조，관찰병비교2조환자적수술치료효과。결과복강경조적수술절구、술중출혈량、수술시간、항문배기시간、장도공능회복시간화주원시간명현소우전통개복조，차이유통계학의의（P＜0．05）；전통개복조청소림파결수량화복강경조무명현차이（P＞0．05）；동시복강경조적병발증정황야교소。결론복강경하미창절제술치료위암적료효여개복수술상근，이차창구소，술후회복교쾌。
Objective To explore the clinical application value of laparoscopic minimally invasive surgery in treatment of gastric cancer patients .Methods 80 patients were randomly divided into the laparoscope group (41 cases) and the traditional laparotomy group(39 cases) according to different treatment.Clinical effect of the 2 groups were compared.Results Surgical in-cision,blood loss,time of operation,anus exhaust time,recovery time of the intestinal function,length of hospital stay in the lapa-roscope group were significantly less than those of the traditional laparotomy group ,there had significant differences (P<0.05);there were no significant differences in the number of lymph nodes between the 2 groups(P>0.05);and the laparoscope group had fewer complications .Conclusion Laparoscopic minimally invasive surgery for gastric cancer has similar curative effects with traditional laparotomy ,and it has less trauma and fast recovery .