Hand-assisted laparoscopic total gastrectomy with regional lymph node dissection for advanced gastric cancer

VernacularTitle:进展期胃癌的手助腹腔镜全胃切除及D2淋巴结清扫
Author: Guangtan ZHANG ; Xuedong ZHANG ; Huanzhou XUE
Publication Type:Journal Article
Keywords: Stomach neoplasm; Gastrectomy; Lymph node dissection; Laparoscopy
From: Chinese Journal of General Surgery 2015;30(10):762-765
CountryChina
Language:Chinese
Abstract: Objective To evaluate hand-assisted laparoscopic distal gastrectomy for the treatment of advanced gastric cancer.Methods From Oct 2013 to Oct 2014, 77 advanced gastric carcinoma patients underwent hand-assisted laparoscopic total gastrectomy with regional lymph node dissection.Results The overage operating time was (295 ± 3) min and the amount of blood loss was (110 ± 17)ml.Postoperative oral feeding began at (3.6 ± 0.4) d.Postop hospital stay was (8.7 ± 0.6) d.The average dissected lymph node was (49.2 ± 1.3).Postopatrative complications developed and cured conservatively in 11 cases.After 4-16 mos follow-up no local recurrence nor metastasis was found.Conclusions Hand-assisted laparoscopic D2 total gastrectomy for advanced gastric cancer is both technically feasible and safe.