[摘要] 目的 研究胃癌手术治疗的临床效果，为以后的临床预防和治疗工作积累更多的技术依据。方法 随机选取2012年1月—2014年10月该院收治的130例胃癌手术患者，将患者随机平均分为了开腹组和腹腔镜组两组，全部患者均需要在全麻的情况下进行手术，需要进行气管插管。开腹手术均按照开腹手术的常规情况进行准备和治疗。腹腔镜组患者进行相应腹腔镜手术，在手术后进行常规的抗感染治疗和肠外营养支持等。对比患者在手术中的出血量、手术时间、肠道恢复时间、住院时间等情况。结果 腹腔镜组患者在手术期间出血量为(205.6±156.9)mL明显低于开腹组(278.6±164.2)mL(P<0.05)；腹腔镜组患者手术时间为(5.1±1.3)h与开腹组患者的(4.4±1.6)h无明显差异；腹腔镜组患者住院时间为(14.1±5.8)h与开腹组患者的(13.5±6.1)h无明显差异。结论 腔镜手术以其手术安全性高、创伤面小、术后康复快等优点，在临出发治疗胃癌中被得到广泛的应用。

    [关键词] 胃癌；开腹手术；腹腔镜

    [中图分类号] R56 [文献标识码] A [文章编号] 1674-0742(2015)06(c)-0034-02

    [Abstract] Objective To study the efforts of gastric cancer operation so as to accumulate more technical basis for future clinical prevention and treatment. Methods 130 patients with gastric cancer admitted to our hospital between January 2012 and October 2014 were divided into two groups： laparotomy group and the laparoscopic group. All the patients received operation in the case of general anesthesia and tracheal intubation. Open surgery for Patients in the laparotomy group was prepared and performed conventionally ......