Laparoscopy-assisted radical proximal gastrectomy for gastric cancer:a report of 22 cases
- VernacularTitle:腹腔镜辅助胃底贲门癌根治术:附22例报告
- Author:
Xiaohui DU
;
Rong LI
;
Lin CHEN
;
Qiang GUO
;
Xiaojie ZHANG
;
Liang CHEN
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Stomach Neoplasms/surg;
Gastric Fundus;
Cardia;
Gastrectomy
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of laparoscopy-assisted radical D2 proximal gastrectomy.Methods The clinical data of 22 cases of laparoscopy-assisted D2 radical proximal gastrectomy were analysed retrospectively.Results Laparoscopy-assisted radical proximal gastrectomy was carried out in all of the 22 cases. There was no conversion to open surgery in this series. The mean operation time was 188(162～270) min. The mean operative blood loss was 182(100～260)mL. The number of lymph nodes dissected was 18.6(10～32). The average time for gastrointestinal function recovery was 78(48～140)h. Postoperative anastomotic leakage occurred in one patient who had tumor invasion of distal esophagus, and it healed after 4 weeks of conservative treatment. There were no postoperative deaths in this series. All the 22 cases were followed up for 1～37 months (mean 9.2 months) and revealed no recurrence or metastasis.Conclusions Laparoscopy-assisted radical D2 proximal gastrectomy for early and advanced gastric cancer is feasible, safe, and minimally invasive.
