Title: Laparoscopic-assisted radical gastrectomy for gastric cancer: with a report of 48 cases
Abstract: Objective: To investigate the safety and efficacy of laparoscopy-assisted radical gastrectomy for gastric cancer.Methods: The clinical data of 48 patients who underwent laparoscopy-assisted radical gastrectomy for gastric cancer were retrospectively analyzed. Operative time,blood loss,postoperative hospital stay,complications,rate of conversion to open surgery,number of lymph node dissection were evaluated. Results: Three cases were converted to laparotomy,45 patients successfully underwent laparoscopy-assisted gastrectomy. For the patients who underwent distal gastrectomy,total gastrectomy or proximal gastrectomy,operation time was( 170. 5 ±15. 2) min,( 220. 3 ± 20. 1) min,( 180. 8 ± 53. 7) min respectively; intraoperative bleeding was( 125. 6 ± 19. 5) ml,( 320. 2 ±31. 7) ml,( 178. 4 ± 24. 8) ml respectively; number of harvested lymph node was( 23. 8 ± 8. 2),( 25. 7 ± 4. 6),( 22. 5 ± 9. 1)respectively; postoperative hospital stay was( 7. 5 ± 2. 1) d,( 8. 9 ± 6. 4) d,( 7. 2 ± 3. 7) d. The postoperative follow-up time was 3to 24 months,7 cases of recurrence and metastasis( including 2 cases who were converted to laparotomy),6 cases of postoperative complications were found. Conclusions: Laparoscopy-assisted gastrectomy is both safe and feasible for advanced gastric cancer with mini-invasion and quick postoperative recovery. Along with the improvement of laparoscopic instruments,accumulation of operative experiences,proficiency of operation,further recognization of biological characteristics of gastric cancer,reasonable combination of laparoscopy and other endoscopic techniques can better launch and popularize laparoscopic radical gastrectomy for stomach cancer,and constantly enlarge indications.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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