4K腹腔镜辅助胃癌根治术幽门下淋巴结清扫的效果研究

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中图分类号 R735.2 R656.6+1 文献标识码 A 文章编号 2096-7721（2025）07-1225-05

AbstractObjective：Toexploretheefectof4KlaparosopicradicalgastrectomyininfrapyloriclymphodedissectionMetods：120 gastriccancerpatientsadmitedtoYan'an UniversityAfiliaedHospitalfromAugust221toAugust2O24wereselectedadradomly divideditotheexperimental group（4Klaparoscopicradicalgastrectomy）andtheontrolgroup（traditionalopenradicalgastrectomy） according tosagei6Ossiachgroup.Peropeatieicatos，matoryesponserkers，omplicatios，datit satisfactionwerecomparedbetweenthetwogroups.Results：Thereasnosignificantdferenceinthenumberofdisstedlyphodes between the two groups （ P>0.05 ）.Compared with the control group，the experimental group had shorter operative time and hospital stay， less intraoperative blood loss，and earlier postoperative anal exhaust timeand first ambulation time （ P <0.05）. Before treatment， there was no significant difference in the levels of CRP，IL-6and TNF- α between the two groups （ P. >0.05）.After treatment，the levels of CRP，IL-6 and TNF- α in the two groups were both increased，butthey were lower in the experimental group than the control group （ P <0.05）. The experimental grouphadalower incidenceofcomplicationsandahighertreatmentsatisfactionratecompared tothecontrolgroup（ P <0.05）. Conclusion：4Klaparoscopicradical gastrectomycansignificantlyreduetraumaandacceleratepostoperativerecoveryonthepremisef guaranteeing the quality oflymph node dissection， which hasclear clinicaladvantages and is worthy of promotion.

KeyWords4KLaparoscope;Radical GastrectomyforGastric Cancer;Laparotomy; InfrapyloricLymphNode; PerioperativeIndicators

传统的开腹胃癌根治术，通过较大的腹部切口进入腹腔，对肿瘤及其周围淋巴结进行切除[-2]。（剩余9617字）