Experience of improving safety in radical operation for gastric cancer
- VernacularTitle:提高胃癌根治术手术安全性的体会
- Author:
Zhanqiang HUA
;
Jianwei BI
;
Mingming NIE
;
Xuguang HUANG
- Publication Type:Journal Article
- Keywords:
Advanced gastric carcinoma;
Gastrectomy of stomach neoplasms;
Lymphadenectomy;
Surgical approach
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(z1):40-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explorer the safety of D2 lymphadenectomy in open distal gastrectomy for distal gastric cancer with the surgical approach from bottom to top,from left to right and from surrounding to middle.Methods 100 advanced distal gastric cancer patients selected from General Surgery Department of Chang Hai Hospital from December 2012 to November 2013 were analyzed retrospectively.All the patients were performed D2 lymphadenectomy in open distal gastrectomy with surgical approach from bottom to top,from left to right and from surrounding to middle.The operation time,amount of bleeding,the number of lymph nodes,postoperative complications and follow-up observation were recorded.Ruselts All patients had successful operation.The operation time was 90 to 190 mins,the average (125.00 ± 21.43) mins;intraoperative blood was 90 to 400 ml,the average (178.00 ± 73.74) ml;number of lymph node dissection was 17 to 41,the average (26.00 ± 6.72).One patient suffered from abdominal hemorrhage,recoverd and discharged after conservative treatment.Conclusions Surgical approach from bottom to top,from left to right and from surrounding to middle can improve the safety of D2 lymphadenectomy for distal gastric cancer.
