Techniques and feasibility of laparoscopic total gastrectomy combined with distal pancreatectomy and splenectomy
10.3760/cma.j.issn.1673-9752.2012.02.011
- VernacularTitle:腹腔镜全胃联合胰体尾和脾切除术
- Author:
Daguang WANG
;
Yang ZIANG
;
Xuan SUN
;
Jinhai YU
;
Yan CHEN
;
Liang HE
;
Huai CHEN
;
Jian SUO
- Publication Type:Journal Article
- Keywords:
Gastric neoplasms;
Laparoscopy;
Extended radical gastrectomy;
Distal pancreatectomy;
Splenectomy
- From:
Chinese Journal of Digestive Surgery
2012;11(2):132-135
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic curative gastrectomy has been widely adopted because it is minimal invasiveness.The efficacy of laparoscopic gastrectomy is comparable to that of open gastrectomy for patients with early or advanced gastric cancer,but few studies of laparoscopic total gastrectomy combined with distal pancreatectomy and splenectomy for patients with advanced gastric cancer have been reported.Seven patients with advanced gastric cancer received laparoscopic total gastrectomy combined with distal pancreatectomy and splenectomy at the First Hospital of Jilin University from September 2010 to September 2011.The mean operation time,blood loss,postoperative hospital stay and the nunber of lymph nodes resected were (218 ± 24) minutes,(366 ± 174) ml,( 14.6 ± 2.8 ) days and 32 ± 15,respectively.Two patients were complicated by pancreatic juice leakage and were cured with drainage. No anastomotic leakage,abdominal bleeding or mortality was observed. With the development of techniques and equipments,laparoscopic total gastrectony combined with distal pancreatectomy and splenectomy is safe and feasible in selected patients.
