Comparison of laparoscope-assisted D2 radical total gastrectomy and open gastrectomy for ;gastric cancer
10.3760/cma.j.issn.1671-0274.2014.08.011
- VernacularTitle:腹腔镜辅助D2根治性全胃切除术与传统开腹手术的比较研究
- Author:
Zhiqing HUANG
1
;
Guoxin LI
;
Yanchang XU
;
Guorong WANG
;
Shujiao YOU
Author Information
1. 351100,福建省莆田市第一医院肿瘤外科
- Keywords:
Stomach neoplasms;
Total gastrectomy;
Laparoscopy
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(8):781-784
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical feasibility of laparoscope-assisted D2 radical total gastrectomy for gastric cancer. Methods From March 2011 to March 2013, 216 gastric cancer patients underwent D2 radical total gastrectomy in our hospital, including 118 laparoscopic and 98 open procedures. The intraoperative and postoperative outcomes between the two groups were compared. Results Compared with open surgery group, laparoscopic group had longer operation time [(253.9 ± 26.1) min vs. (206.2±23.9) min, P<0.01], less intraoperative blood loss[(138.4±34.0) ml vs. (266.3± 58.7) ml, P<0.01], shorter postoperative hospital stay [(10.3±1.4) d vs. (13.9±2.0) d, P<0.01], and lower morbidity of postoperative complication[16.1%(19/118) vs. 29.6%(29/98), P<0.05]. There were no significant differences in the number of lymph node removed [(26.2 ±6.2 vs. 27.6 ±5.6)], postoperative morbidity of complication [1.7%(2/118) vs. 2.0%(2/98)], and 2-year survival rate (99.0% vs. 98.6%) between the two groups (all P>0.05). Conclusion As compared to open surgery, laparoscope-assisted D2 radical total gastrectomy is safe, feasible with the advantage of rapid postoperative recovery.
