A comparative study between laparoscopic-assisted and open distal radical operation for advanced gastric cancer
10.3760/cma.j.issn.1673-4904.2013.08.005
- VernacularTitle:腹腔镜辅助下远端胃癌根治术与传统开腹远端胃癌根治术治疗进展期胃癌的对比分析
- Author:
Haifeng ZHAO
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Stomach neoplasms;
Distal gastric cancer radical operation;
Advanced gastric cancer
- From:
Chinese Journal of Postgraduates of Medicine
2013;(8):13-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of laparoscopic-assisted and open distal gastric cancer radical operation for advanced gastric cancer and evaluate the feasibility and short-term outcomes of laparoscopic-assisted distal gastric cancer radical operation.Methods The clinical data of 198 patients from January 2007 to December 2011 were analyzed retrospectively.Ninety-one patients who underwent laparoscopic-assisted distal gastric cancer radical operation was in laparoscopy group,and 107 patients who underwent open distal gastric cancer radical operation was in open operation group.Results The operative time in laparoscopy group was significantly longer than that in open operation group [(260.08 ± 26.28) min vs.(231.74 ± 17.33) min],and intraoperative blood loss volume,incision length,recovery of bowel activity,time of stay in hospital and recovery eating were significantly shorter than those in open operation group [(152.13 ± 51.05) nl vs.(348.00 ± 110.36) ml,(5.02 ± 0.82) cm vs.(19.13 ± 1.57) cm,(2.79 ± 0.75) d vs.(4.49 ± 1.09) d,(9.97 ± 2.08) d vs.(12.15 ± 2.46)d,(6.91 ± 1.44) d vs.(7.45 ± 1.08) d,P＜ 0.05].The total number of lymph nodes and postoperative complication had no significant difference between two groups (P ＞ 0.05).Conclusions The laparoscopic-assisted distal gastric cancer radical operation for advanced gastric cancer is safe and feasible.It has better short-term outcomes.
