摘要
Abstract
Objective To explore the short term efficacy of laparoscopic assisted distal gastrectomy versus traditional open surgery for elderly patients with gastric cancer and its effect on serum levels ofTNF-α,IL-6,and CRP.Methods 52 elderly patients with distal gastric cancer treated at our hospital were collected and were randomly divided into an experimental group and a control group,26 cases for each group.The control group were treated by traditional open surgery and the experimental group laparoscopic assisted distal gastrectomy.After the treatment,the serum levels ofturnor necrosis factor α (TNF-α),intefleukin-6 (IL-6),and C reactive protein (CRP),the intra-operative conditions,the short-term-outcome-related indicators,and the incidence of complications were compared between these two groups.Results The operation time was (266.57±38.07) min in the experimental group,which was longer than that in the control group;the intra-operative bleeding volume was (172.65±24.06) ml,which was lower than that in the control group;with statistical differences (P ＜ 0.05).The postoperative ventilation time,the first feeding time,and the postoperative hospitalization time were significantly shorter in the experimental group than in the control group,with statistical differences (P ＜ 0.05).The serum levels of TNF-α,IL-6,and CRP were lower in the experimental group than in the control group (P ＜ 0.05).The total incidence of postoperative complications was 11.53％ in the experimental group and was 38.46％ in the control group,with a statistical difference (P ＜ 0.01).Conclusions Compared with traditional open surgery for gastric cancer,laparoscopic assisted distal gastrectomy for elderly patients with gastric cancer has longer operation time but lower intra-operative bleeding volume,better short-term curative effect,and fewer postoperative complications,so it is worth being clinically gerneralized.关键词
腹腔镜辅助远端胃大部切除术/传统开腹胃癌切除术/老年胃癌/短期疗效/并发症Key words
Laparoscopic assisted distal gastrectomy/Traditional open surgery for gastric cancer/Elderly patients with gastric cancer/Short-term curative effect/Complications
