ObjectiveTo comparatively analyze the effect and safety of laparoscopic anastomosis and small incision-assisted anastomosis in patients with gastric cancer. MethodsSixty patients with gastric cancer were selected as research objects and divided into an observation group and a control group by the computer randomized method, with 30 cases in each group. The control group was treated with small incision-assisted anastomosis, while the observation group was treated with laparoscopic anastomosis. The operation-related indicators (operation time, intraoperative blood loss, surgical incision length, anastomosis time) and postoperative recovery-related indicators (hospital stay, anal exhaust time and liquid diet time）were compared between the two groups. Before and after the operation, the VAS was used to assess the pain severity of patients. The occurrence of postoperative complications of the two groups were recorded. ResultsThe intraoperative blood loss, surgical incision length, anastomosis time, hospital stay, anal exhaust time and liquid diet time in the observation group were significantly less/shorter than those in the control group, with statistically significant differences (all P＜0.05). Before the operation, there was no statistically significant difference in the VAS score between the two groups (P＞0.05). At 24h and 36h after the operation, the VAS scores of the observation group were significantly lower than those of the control group, with statistically significant differences (all P＜0.05). The observation group had an obviously lower incidence of complications as 6.67 % than 16.67 % in the control group, with statistically significant difference (P＜0.05). ConclusionCompared with small incision-assisted anastomosis, laparoscopic anastomosis in gastric cancer patients has a better application effect, with the advantages of small surgical incision and short anastomosis time, which can reduce patients′ pain and have higher safety.

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