关键词: 早期胃癌, 腹腔镜, 开腹手术, 术后恢复, 免疫功能, 并发症

Abstract:

Objective To explore the efficacy of laparoscopic radical gastrectomy and open radical gastrectomy in the treatment of early gastric cancer. Method 60 patients with early gastric cancer treated in Binyang People's Hospital from July 2018 to June 2021 were randomly divided into two groups according to the random number table method, with 30 cases in each group. The control group was treated with open radical gastrectomy and the observation group was treated with laparoscopic radical gastrectomy. The operation related indexes, postoperative recovery, immune function and postoperative complication rate were compared between the two groups. Result The intraoperative blood output of the observation group was lower than that of the control group (P ＜ 0.05), the operation time of the observation group was longer than that of the control group (P ＜ 0.05), and there was no difference in the number of lymph node dissection between the two groups (P ＞ 0.05). The postoperative exhaust time, defecation time, out of bed activity time and hospital stay in the observation group were shorter than those

in the control group (P ＜ 0.05). The peripheral blood IgA, IgM and IgG in the observation group were lower than those in the control group (P ＜ 0.05). The postoperative complication rate in the observation group was 3.33%, lower than 20.00% in the control group (P ＜ 0.05). Conclusion Laparoscopic radical gastrectomy can achieve the short-term effect similar to open radical gastrectomy, reduce the amount of intraoperative bleeding, shorten the postoperative recovery time, reduce the damage of immune function and reduce the incidence of postoperative complications.

Key words: Early gastric cancer, Laparoscopy, Laparotomy, Postoperative recovery, Immunity, Complication