Laparoscopic total gastrectomy for gastric cancer
- VernacularTitle:腹腔镜胃癌全胃切除术
- Author:
Feng QIAN
;
Peiwu YU
;
Ziqian WANG
;
Bo TANG
;
Yan SHI
;
Yongliang ZHAO
;
Huaxing LUO
;
Gang SUN
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Laparoscopy;
Gastrectomy
- From:
Chinese Journal of General Surgery
2008;23(4):262-264
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility,method and result of laparoscopic total gastrectomy for gastric cancer. Methods Clinical data of 63 cases of gastric cancer treated with laparoseopic total gastrectomy were analyzed retrospectively. Results In this study,52 cases underwent laparoseopic radical total gastrectomy and 5 cases did laparoseopic palliative total gastrectomy.The procedure Was hand assisted in tlle first 45 cases for fashoning esophagojejunostomy through a small incision.In six cases the procedure was converted to open surgery.The operative time was(312±35)min,the blood loss was(190±50)ml,the number of lymph nodes dissected Was(32±7).It began to pass flatus(4.0±1.2)days postoperatively.It was(4.5±1.5)days to start oral liquids.Patients were up and about on(4.0±1.5)days postoperatively. Minor postoperative complications occurred in 5 cases. Conclusion Laparoscopic total gastrectomy for gastric cancer is safe,feasible,less traumatic and of fast postoperative recovery.