RESUMO
Objective:To compare clinical efficacy after endoscopic submucosal dissection(ESD)of gastric cancer recurrence with laparoscopic and open radical resection.Methods:ESD postoperative recurrence of 98 cases of gastric cancer were studied.According to different surgical methods were divided into observation group (49 cases of laparoscopic radical resection) and control group (49 cases of radical open surgery),3 years of follow-up,compared two groups of the curative effect,intraoperative and postoperative related indicators,postoperative,and the postoperative complications.Results:The two groups after 1～3 year survival rate and recurrence rate compared with no significant difference (P＞0.05).The operation time of the observation group was longer than the control group,but the total length and amount of bleeding were less than the control group,the differences were statistically significant (P＜0.05).The observation group of exhaust time,gastrointestinal decompression extubation time,extubation time of abdominal drainage,eating for the first time,hospitalization time and hospitalization expenses were less than the control group,the differences were statistically significant (P＜0.05).The patients in the observation group of the overall complication rate was 12.24％,and the control group (8.16％) there was no statistically significant difference (P＞0.05).The observation group patients with laparoscopic radical surgery and recurrence of gender,age,tumor staging,there were no obvious relationship (P＞0.05).The observation group of laparoscopic radical recurrence in patients with lymph node metastasis was 15 cases after surgery,but with gender,age,tumor staging,there were no obvious relationship (P＞0.05).Conclusions:The curative effect of ESD postoperative recurrence in patients with gastric cancer underwent laparoscopic surgery,less damage to patients,is conducive to the recovery,and high safety,worthy of promotion.