Comparative study of laparoscopic gastrectomy D2 radical surgery and open gastrectomy for upper stomach cancer
10.3760/cma.j.issn.1006-9801.2014.05.012
- VernacularTitle:腹腔镜全胃D2根治术与开腹手术治疗胃上部癌的比较研究
- Author:
Wenlin LIN
;
Zhixiong LI
;
Yanchang XU
;
Xueru XIE
;
Zhiqing HUANG
;
Guofeng PAN
- Publication Type:Journal Article
- Keywords:
Gastric neoplasms;
Gastric cancer radical operation;
Laparoscopic;
Rubber band fixed law
- From:
Cancer Research and Clinic
2014;26(5):332-335
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety,tumor radical and early postoperative efficacy through comparison of laparoscopic gastric D2 radical surgery with traditional open gastric D2 radical surgery.Methods 254 patients with upper stomach cancer underwent surgery were selected,132 cases using conventional open gastrectomy (the traditional laparotomy group),122 patients underwent laparoscopic radical gastrectomy (laparoscopic surgery group).Laparoscopic surgery group with traditional open surgery group had no statistically significant differences in gender,age,tumor location,histological type and TNM staging.Results Open surgery group and laparoscopic surgery group had statistically significant differences in operative time [(235.78±31.56) min,(256.43±54.08) min,P ＜ 0.001],blood loss [(326.69±89.73) ml,(158.31±62.98) ml,P ＜ 0.001],incision length [(16.53±2.34) cm,(5.51±1.15) cm,P ＜ 0.001],gastrointestinal recovery time [(4.22±0.91) d,(3.31±0.83) d,P ＜ 0.001],first time eating liquid [(5.78±0.95) d,(5.56±0.78) d,P ＜ 0.001] and postoperative hospital stay [(12.62±2.89) d,(11.18±1.78) d,P ＜ 0.001].The total number of lymph node dissection and complications was not statistically significant.Conclusions Laparoscopic gastric D2 radical surgery is a safe,minimally invasive surgical method.Laparoscopic gastric D2 radical surgery has the same lymph node dissection and good early outcome compared with the traditional gastric D2 radical surgery,but postoperative recovery fast and less invasive.
