Pylorus-and vagus-preserving laparoscopic gastrectomy for the treatment of early gastric cancer

VernacularTitle:腹腔镜保留幽门及迷走神经胃切除术治疗早期胃癌
Author: Chi ZHANG ; Jian ZHANG ; Xiang HU
Publication Type:Journal Article
Keywords: Gastric neoplasms; Laparoscopy; Gastrectomy; Vagus nerve; Pylorus
From: Chinese Journal of Digestive Surgery 2014;13(5):381-385
CountryChina
Language:Chinese
Abstract: Reduced surgery for early gastric cancer has been actively performed because it can offer complete cure and a good postoperative quality of life.Pylorus-and vagus-preserving gastrectomy (PPG) is one form of function-preserving surgery.Laparoscopic surgery has been widely applied for the treatment of gastric cancer due to its advantages including low invasiveness,minimal bowel paralysis,earlier postoperative healing and nerve and gastric function preservation.Therefore,laparoscopic pylorus-and vagus-preserving gastrectomy (LAPPG) for the treatment of early gastric cancer is welcomed by surgeons.From May 2004 to April 2013,12 patients with early gastric cancer received LAPPG in the First Affiliated Hospital of Dalian Medical University.All the patients were followed up for 3-74 months.One patient died of gastric cancer liver metastasis at postoperative month 22.The 5-year cumulative survival rate was 86％.LAPPG preserves nerve function and limits surgical injury,it is one of the ideal surgical methods for the treatment of early gastric cancer.