PARProceedings of Anticancer Research2208-35452208-3553Bio-Byword Scientific Publishing Pty. Ltd.10.26689/par.v8i4.7896ArticleClinical Application Analysis of Laparoscopic-Assisted Total Gastrectomy in the Surgical Treatment of Gastric Cancerhttps://artdesignp.com/journal/PAR/8/4/10.26689/par.v8i4.7896XueLiang,ShiZhe,SunShugang,ZhaoGuodong2024842024-08-12Objective: To investigate the clinical application effect of laparoscopic-assisted total gastrectomy in the surgical treatment of gastric cancer. Methods: The clinical data of 86 COPD patients included in the study were collected and divided into 43 cases each in Groups A and B using the randomization method, with open total gastrectomy in Group A and laparoscopic-assisted total gastrectomy in Group B. The clinical indexes, pain levels, and complications of patients in the two groups were observed in combination with the indexes. Results: The baseline data of the two groups of patients were not statistically significant (all P > 0.05); the operation time, incision length, first flatulence time, and hospitalization time of patients in Group B were shorter than those in Group A (all P = 0.000); the NRS scores of patients in Group B on the 1st postoperative day and the 2nd postoperative day were significantly lower than those in Group A (t = 23.443, t = 28.784, all P =  0.000); the total complication rate of patients in Group B (1; 2.33%) was significantly lower than that of Group A (9; 20.94%) (χ2 = 7.242, P = 0.007). Conclusion: In the surgical treatment of gastric cancer, laparoscopic-assisted total gastrectomy can promote patients’ recovery, reduce patients’ pain, and lower the probability of complications.

Yuan P, Zheng K, 2018, Progress in the Epidemiologic Study of Gastric Cancer. Journal of Chronic Disease, 19(12): 1671–1675 + 1680.

Cao B, Dong Y, Chen Z, 2019, Analysis of Complications and Surgery-Related Indexes in Gastric Cancer Patients After Laparoscopic Total Gastrectomy and Open Total Gastrectomy. Cancer Progress, 17(23): 2796–2799.

Yan L, 2018, Application of Laparoscopic-Assisted Total Gastrectomy in the Surgical Treatment of Gastric Cancer. China Medical Device Information, 24(6): 126–127.

Wang Y, 2020, Observation on the Efficacy of Laparoscopic-Assisted Radical Surgery for Distal Gastric Cancer. China Health Standard Management, 11(22): 96–98.

Fang W, 2023, Analysis of Risk Factors for Pulmonary Complications After Laparoscopic Gastric Cancer Surgery. China Modern Drug Application, 17(12): 1–6.

Xia Y, 2019, Clinical Efficacy and Safety Evaluation of Laparoscopic Radical Gastrectomy for Progressive Gastric Cancer. China Medical Device Information, 25(19): 94–95.

Yang T, 2018, Effect of Laparoscopic-Assisted Total Gastrectomy on Postoperative Intestinal Function and Serum T-Cell Subsets and Carcinoembryonic Antigen Levels in Gastric Cancer Patients. International Medicine and Health Guide, 24(18): 2799–2803.

Ma J, 2017, Comparison of the Efficacy of Laparoscopic Radical Gastrectomy and Open Radical Gastrectomy for Progressive Gastric Cancer. Clinical Medicine Research and Practice, 2(29): 71–72.

Chen Y, Li Y, 2018, Effect of Laparoscopic Radical Gastric Cancer Surgery with Lymph Node Dissection on Postoperative Intestinal Barrier Function. Clinical Medicine Research and Practice, 3(25): 53–54.

Guo X, Yang Z, Fu Y, et al., 2022, Application Effect of Laparoscopic Total Gastrectomy in Gastric Cancer Patients. Henan Medical Research, 31(2): 278–281.

Zhang X, Zhang X, Li S, et al., 2023, Comparison of Recent Results and Complications Between Laparoscopic and Open Total Gastrectomy for Stage I Gastric Cancer. Clinical Medicine Research and Practice, 8(10): 52–55.