Clinical application of laparoscopic-assisted radical gastrectomy for advanced gastric cancer
10.3760/cma.j.issn.1006-9801.2010.03.015
- VernacularTitle:腹腔镜进展期胃癌根治术的临床疗效
- Author:
Jianhong DONG
;
Jingxun DONG
;
Qingxing HUANG
;
Wanhong ZHANG
;
Zefeng GAO
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Laparoscope;
Digestive system surgical procedures
- From:
Cancer Research and Clinic
2010;22(3):193-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and safety of laparoscopy-assisted D2 radical gastrectomy for advanced gastric cancer. Methods From June, 2006 to July 2009, 11 patients with gastric cancer received laparoscopy-assisted gastrectomy for gastric cancer. According to UICC TNM classification of gastric cancer, 6 cases were with Stage Ⅱ, 2 cases with Stage Ⅲ A, 1 case with Stage Ⅲ B, and 2 cases with Stage Ⅳ. Under the assistance of laparoscope, dissociation of the stomach and lymph nodes clearance were performed first; then gastrectomy was performed on a 6 cm incision, samples were collected, and alimentary tract was inoculated. Results Among the 11 cases, 2 cases were performed radical total gastrectomy, 1 case was performed proximal partial gastrectomy, 7 cases were performed distal partial gastrectomy and 1 case with open surgery. The mean operation time: 350 min for total gastrectomy, 320 min for proximal partial gastrectom,266 min for distal partial gastrectomy. The mean number of harvested lymph nodes was 21.3 (11-38), incisal edge was 5.6 (4.0-9.6) cm. The mean time was 72 (36-110) hrs for gastrointestinal function recovery, 59 (26-86) hrs for patients to take general activity, and 76 (48-116) hrs to take liquid food. No complication was observed. Conclusion Laparoscopy-assisted D2 radical gastrectomy for advanced gastric cancer is safe and feasible. Compared with open surgery, it also has the advantages of small wound and fast recovery.
