关键词: 胃癌, 全胃切除术, 近端胃切除术

Abstract: Objective To explore the effect of proximal minimally invasive gastrectomy for patients with early-stage proximal gastric cancer. Methods 100 patients with proximal gastric cancer who underwent surgery from January 2007 to January 2012 were enrolled, 50 of whom underwent proximal minimally invasive gastrectomy and 50 underwent total gastrectomy. Surgical conditions, complications, nutritional status, and Visik scores of gastroesophageal reflux were compared between the two groups.Results In terms of operating time, lymphatic cleaning, statistical significance was not showed on them between two groups (P>0.05). In terms of blood loss, volume of experiment group was less than that of control group, statistical significance was showed on them (P<0.05). Compared early and late complications, exhaust time, eating time between two groups, statistical significance was not showed on them (P>0.05). In gastric cancer pathological conditions, statistical significance was not showed on them between two groups (P>0.05).The statistical significance was not showed on preoperative and postoperative nutritional status between two groups (P>0.05). The Visik score of experiment group is significantly higher than that of control group, statistical significance was showed on them (P<0.05). Conclusion Proximal minimally invasive proximal gastrectomy is a reliable and safe choice for gastric cancer patients, patients have good postoperative recovery, it has a high incidence of gastroesophageal reflux, but it is worth in clinical application.

Key words: gastric cancer, total gastrectomy, laparoscopic proximal gastrectomy