| Objective To analyze the clinical effect of laparoscopic assisted D2 radical surgery on elderly patients with advanced distal gastric cancer (ADGC) and the short-term prognosis. Methods Sixty-four patients with ADGC receiving laparoscopic assisted D2 radical surgery from this hospital were selected and divided into two groups according to the operative method, namely, the research group (28 cases, received laparoscopic assisted D2 radical surgery) and the control group (36 cases, received normal intra-abdominal D2 radical surgery). The indexes of clinical efficiency including operation time, operation bleeding volume, gastrointestinal exhaust time, postoperative hospitalization time and number of lymph node dissection were compared between the two groups. And the postoperative complication rates of incision infection, lung infection, anastomotic stoma fistula, anastomotic stoma bleeding and postoperative gastroparesis were compared between two groups. During the follow-up of 3 to 36 months, the indexes of postoperative survival time and recurrence rate were compared between two groups. Results Compared to control group, the indexes of operation time, operation bleeding volume, gastrointestinal exhaust time and postoperative hospitalization time of research group were lower (P<0.05), but the number of lymph node dissection showed no statistically significant difference between the two groups (P>0.05). The postoperative complication rates had no statistically significant difference between the two groups (P>0.05). Followed-up for 3 to 36 months, the indexes of postoperative survival time and recurernce rate had no statistically significant difference between the two groups (P>0.05). Conclusion Laparoscopic assisted D2 radical surgery for ADGC has the advantages of shorter operative time, less intraoperative blood loss and faster postoperative recovery. The short-term prognosis is similar to that of open surgery. |
