摘要
Abstract
Objective:To evaluate the clinical efficacy of laparoscopic radical gastrectomy in elderly patients with advanced gastric cancer.Methods:The objects were 78 elderly patients with advanced gastric cancer from May 2013 to May 2015,including 43 patients who underwent laparoscopic radical gastrectomy and 35 patients who underwent open radical gastrectomy.All patients were per-formed primary tumor resection for D2 resection.The hospitalization time, postoperative hemoglobin levels, blood loss, eating liquid time,ambulation time,stomach tube retention time,anus exhaust time,number of lymph node dissected,intraoperative arterial partial pressure of carbon dioxide ( PaCO2 ) and operation time in the 2 groups were recorded and analyzed.Results:During the operation,the blood loss in the laparoscopic group was significantly less than that in the open group (P<0.05).The intraoperative PaCO2,the opera-tion time and number of lymph node dissected were not significantly different between two groups (P>0.05).After surgery,the hemo-globin levels in the laparoscopic group was significantly higher than that in the open group (P<0.05),with less hospitalization time, eating liquid food time,ambulation time,stomach tube retention time and postoperative flatus when compared with open group ( P<0.05).Conclusions:Laparoscopic radical gastrectomy is a safe option of complete tumor resection for elderly patients with advanced gastric cancer,which could promote the recovery after surgery and decrease intraoperative blood loss.It should be widely applied clini-cally.关键词
胃肿瘤,进展期/胃癌根治术/腹腔镜检查/老年人Key words
Stomach neoplasms,advanced/Radical gastrectomy/Laparoscopy/Aged分类
医药卫生
