Qingkai Xue, Zhiqi Gong, Xinliang Jin, Weijie Xue, Zhaojian Niu </h5></div> Cancer Cell Research 2019 6(22) 638-643 published online 28 May 2019
||Cancer Cell Research, 2019, Vol.6 (22), pp.638-643
||Guoyu exquisite culture Co., Ltd
To compare the safety and recent clinical efficacy of totallaparoscopic distal gastrectomy (TLDG) with laparoscopicassisted distal gastrectomy (LADG), and to explore theadvantages of TLDG, prospective clinical study methods wereused to design gastric cancer patients treated withgastrointestinal surgery in the Affiliated Hospital ofQingdao University from March 2018 to October 2018, total of60 patients were included in the study, including 30 in theTLDG group and 30 in the LADG group. The cases were dividedinto TLDG group and LADG group by random number table. Theintraoperative and postoperative conditions of the twogroups were compared and analyzed to measure the therapeuticeffect. The operation time and number of lymph nodesdissected in the TLDG group were higher than those in theLADG... group (P>0.05). There was no statistical difference inthe distance of the upper cutting edge (P>0.05). Theincision length was significantly smaller than that of theLADG group (P<0.05). The first anal exhaust time was earlierthan LADG group (P<0.05). The postoperative hospitalizationtime was shorter than that of the LADG group (P<0.05). Thehospitalization cost was slightly higher than that of theLADG group, but the difference was not statisticallysignificant (P>0.05). The white blood cell count on thefirst day after the operation and the c-reactive protein onthe first and third day after the operation were all smallerthan the LADG group (P<0.05). VAS pain scores ofpostoperative patients: all the scores on the first, thirdand fifth days after the operation were smaller than thosein the LADG group (P<0.05). The total amount ofpostoperative analgesic was lower than that of the LADGgroup (P<0.05). One case of incision infection and one caseof postoperative intestinal obstruction occurred in the LADGgroup. Gastroparesis occurred in 1 case of TLDG group. Totallaparoscopic radical gastrectomy for distal gastric canceris safe and feasible, and has more advantages thanlaparoscopic-assisted radical gastrectomy for distal gastriccancer, which is worthy of clinical promotion andapplication.