Title: Laparoscopic radical surgery for upper gastric cancer:A report of 53 cases
Abstract: Objective To explore the feasibility and safety of laparoscopic surgery for gastric cancers at the upper one third of the stomach.Methods Fifty-three laparoscopic procedures for upper gastric cancers were performed at our hospital from May 2004 to October 2006,including 18 procedures of total gastrectomy and 35 of proximal gastrectomy.D1 plus alpha or beta lymphadenectomy was performed on 6 cases,and D2 in 47 cases.Results Except for 4 cases of conversion to open surgery,the other 49 patients underwent laparoscopy-assisted proximal or total gastrectomy successfully.The mean operative time was(215.8±22.8)min for proximal gastrectomy and(289.8±35.8)min for total gastrectomy,mean blood loss(139.34±82.7)ml,and mean lymph nodes retrieved(28.9±11.0).The proximal and distal tumor margins were(3.6±1.3)cm and(6.4±1.1)cm,respectively,with all the margins free of cancer cells.The patients had a quicker recovery as indicated by first flatus time and time to ground activity.There was no postoperative death,with an acceptable morbidity rate.After a mean follow-up period of 18.6 months,there were 10 deaths and 3 alive patients with recurrent diseases.Conclusion Laparoscopic proximal or total gastrectomy is feasible,safe and effective in cancer clearance for gastric cancers at the upper one third of the stomach,with the merits of microinvasiveness,less blood loss,quicker recovery,acceptable morbidity rate and decreased chance of conversion to thoracotomy.
Publication Year: 2007
Publication Date: 2007-01-01
Language: en
Type: article
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