| ObjectiveTo compare the safety between radical gastrectomy with Laparoscope and laparotomy.Methods80 patients with gastric cancer treated in two hospitals (the Second Affiliated Hospital of University of South China and Affiliated NanHua Hospital of University of South China) from April 2012 to March 2014 were spicilegiumed as objects of study.They were divided in to laparoscopy group(50 cases of group A) and laparotomy group(30cases of group B) according to surgical method.Laparoscopy group was operated with classical laparoscope,the other one with laparotomy.Test the level of serum cortisol (Cor),Norepinephrine (NE),total antioxidant capacity (TAC),catalase (CAT) 1day before operation and 4W,8W after operation.Results were analyzed with statistics,to contrast that they have or not have statistic difference between two groups.ResultCompared with laparotomy group，laparoscopy group was better in incision length,blood loss,postoperative recovery processes,etc.The difference was statistically significant (P<0.05).There is no difference between two groups on the level of Cor,NE,TAC,CAT before operation (P>0.05).The level of Cor,NE,TAC,CAT 4W,8W after surgical treatment has significant difference (P<0.05).ConclusionTwo methods can gain good clinical effect in early treatment.But compared with traditional laparotomy of gastric cancer,laparoscopic dissection has smaller wound,less blood loss,fewer complications,faster recovery and higher safety.It should be generalized. |