腹腔镜一内镜系统联合根治术治疗早期胃癌老年患者的效果评估

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[Abstract] ObjectiveTo investigate the short-term and long-term curative efficacy of laparoscopic endoscopic system c binedwithradicalsurgeryinthetreatmentofelderlypatientswithearlygastriccanceranditsectongastrinandnutritionallevels. MethodsAtotalofelderlypatientswithearlygastriccanceradmitedtoteFistAflatedHospitalofXinjiangMedicalUniver sityfromJanuary2O12toDecember2O22 wereselectedas thestudysubjectsandrandomlydividedintothestudygroupandthecontrol group，with 5Ocases ineach group.Thecontrol group wasgivenlaparotomy，andthestudy groupwas givenlaparoscopicendoscopic systemcombinedwitdicalsurgeryhesortecurativefcacyng-teuratiefcacyastrin，utritioalleveldost operativecomplicationswerecomparedbetweenthetwo groups.ResultsComparedwiththecontrol group，thestudygrouphadlonger operatiotime，lessitraoperativeblodloss，andshorterpostoperativefirstexhausttime，timetogetoutofbed，andhospitalstay （ P<0.05 ）.There werensignificantdiferencesintherecurrencerate，mucosalsurvivalrate，submucosalsurvivalrate，andoveal survival rate between the two groups（ P>0.05 ）.Compared with the control group，the study group had higher postoperative GAS and MTL levels and lower CCK levels （ P<0.05 ）；ALB，PAB，and HB levels（ P<0.05 ）；the control group had significant differences from the preoperative group （ P<0.05 ）. Overall complication rate was lower （ P<0.05 ）. Conclusion Laparoscopic-endoscopic systemcombinedwithradicalsurgerycansignificantlyimprovetheshort-termefcacyofelderlypatientswithearlygastriccaner，with less effect on gastrin secretion and nutritional level of the body，and fewer postoperative complications.

[Keywords]Laparoscopic-endoscopicsystemcombined withradical surgery；Earlygastriccancer；Short-termcurative effect；Long-term curative efect；Gastrin；Nutritional level

胃癌是一种以胃黏膜上皮细胞作为肿瘤起源的消化道肿瘤，早期胃癌多无明显临床症状[1]。（剩余8628字）