目的回顾性探究胃癌患者通过腹腔镜与开放远端胃癌根治术治疗的近期效果。方法 80例胃癌患者为研究对象,根据手术方法的不同分为观察组及对照组,各40例。观察组通过腹腔镜远端胃癌根治术治疗,对照组通过开放远端胃癌根治术治疗。对比两组切口长度、术中出血量及不良反应发生情况。结果观察组切口长度(6.32±1.82)cm短于对照组的(16.24±3.35)cm,观察组术中出血量(110.5±24.1)ml少于对照组的(288.4±26.7)ml,差异均具有统计学意义(t=16.456、31.282,P<0.05)。观察组不良反应发生率7.5%低于对照组的25.0%,差异具有统计学意义(χ~2=4.501,P<0.05)。结论胃癌患者通过腹腔镜与开放远端胃癌根治术治疗后取得的近期成效均较显著,但腹腔镜技术,在缩短切口长度、减少术中出血量的同时,使不良反应发生率明显降低,应大力推广应用。 Objective To retrospectively investigate the short-term effects of gastrectomy and open distal gastrectomy for gastric cancer. Methods 80 patients with gastric cancer were studied. According to the different surgical methods, they were divided into observation group and control group, with 40 cases in each group. The observation group was treated by radical laparoscopic radical gastrectomy. The control group was treated by open radical distal gastrectomy. The incision length, intraoperative blood loss, and incidence of adverse reactions were compared between the two groups. Results The length of the incision in the observation group was (6.32±1.82) cm shorter than that in the control group (16.24±3.35) cm. The blood loss in the observation group was (110.5±24.1) ml less than that in the control group (288.4±26.7) ml. Statistical significance (t=16.456, 31.282, P<0.05). The incidence of adverse reactions in the observation group was 7.5% lower than that in the control group (25.0%), and the difference was statistically significant (χ~2=4.501, P<0.05). Conclusion The recent results obtained by laparoscopic and open radical gastrectomy for gastric cancer patients are significant. However, laparoscopic techniques can reduce the length of the incision and reduce the amount of intraoperative blood loss, while significantly reducing the incidence of adverse reactions. Promote the application.