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- W3030331392 abstract "目的 探讨腹腔镜胃大部切除术的优越性.方法 将2001年10月～2003年3月收治的50例胃十二指肠球部溃疡穿孔患者随机分为腹腔镜组和开腹组,各25例,均行胃大部切除术,比较两组的手术时间、术中出血量、术后住院时间、术后肛门排气时间、术后并发症、术前及术后1～3 d每天早晨血清胃动素、C-反应蛋白(CRP)、肿瘤坏死因子(TNF)、白细胞介素(IL)-6的表达.结果 开腹组术后切口感染5例,腹腔镜组1例,两组比较差异有统计学意义(P＜0.05).与开腹组比较,除手术时间差异无统计学意义外(P＞0.05),腹腔镜组术后出血量少、术后胃动素高峰值提前及肛门排气时间早、术后并发症少、术后住院时间短(P均＜0.05),两组术后1、3 d IL-6、TNF较术前明显升高(P均＜0.01).结论 腹腔镜胃大部切除术是安全可行的,且比开腹胃大部切除术具有优越性。" @default.
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- W3030331392 date "2007-07-15" @default.
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- W3030331392 title "Prospective and comparative study on laparoscopic subtotal gastrectomy and open surgery" @default.
- W3030331392 doi "https://doi.org/10.3760/cma.j.issn.1673-4904.2007.20.005" @default.
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