The clinical comparison of totally laparoscopic versus open total gastrectomy for gastric cancer.
- Author:
Ke CHEN
1
;
Yi-Ping MOU
;
Xiao-Wu XU
;
Jie WANG
;
Jia-Fei YAN
;
Ren-Chao ZHANG
;
Yu-Cheng ZHOU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Female; Gastrectomy; methods; Humans; Laparoscopy; Laparotomy; Length of Stay; Lymph Node Excision; Male; Middle Aged; Stomach Neoplasms; surgery; Treatment Outcome
- From: Chinese Journal of Surgery 2013;51(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the feasibility, safety and oncological effect of totally laparoscopic total gastrectomy (TLTG).
METHODSThe clinical data of TLTG cases and open total gastrectomy (OTG) patients between November 2007 and October 2011 were analyzed. Also compared the feasibility, safety and short-term outcomes of TLTG with OTG.
RESULTSNinty cases were analyzed. There were 18 cases in the TLTG group and 72 cases in the OTG group. Operation time was significantly longer in the TLTG group ((310 ± 86) minutes) than in the OTG group ((256 ± 57) min, t = 4.963, P = 0.002), However, the blood loss were significantly lower in the TLTG group ((136 ± 84) ml vs. (359 ± 141) ml, t = -11.734, P = 0.000). The post operative morbidity was similar between the TLTG and OTG group. First flatus time (t = -7.020), first diet time (t = -6.166 and -5.698), and post operative hospital stay (t = -4.610) were significantly shorter in the TLTG group than in the OTG group (P < 0.05).
CONCLUSIONSLTG is a safe and feasible procedure with quick post-operation recovery. The laparoscopic side-to-side esophagojejunal anastomosis is a safe and feasible method of alimentary reconstruction after laparoscopic total gastrectomy.
