Open vs hand-assisted laparoscopic total gastric resection with D2 lymph node dissection for cardiac carcinoma
10.3760/cma.j.issn.1007-631X.2018.01.002
- VernacularTitle:进展期贲门癌手助腹腔镜根治术的安全性及疗效评价
- Author:
Guangtan ZHANG
1
;
Yucheng SONG
;
Xuedong ZHANG
Author Information
1. 河南省人民医院普外科
- Keywords:
Stomach neoplasms;
Laparoscopy;
Gastrectomy
- From:
Chinese Journal of General Surgery
2018;33(1):4-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and safety of hand assisted laparoscopic total gastrectomy with D2 lymphadenectomy for advanced cardiac cancer compared with open surgery.Methods 174 patients suffering cardiac,upper,middle or whole gastric cancer operated in our department from October 2013 to October 2014 were divided into open surgery group and laparoscopic group.Perioperative parameters were compared between the two groups.Results Patients in loparoscopic group were associated with significantly less operative blood loss [(110 ± 17) ml vs.(345 ± 95) ml,t =4.95,P =0.011],and shorter postoperative hospital stay [(8.7 ± 0.6) d vs.(14.3 ± 2.1) d,t =0.26,P =0.031],but longer operative time [(295 ± 37) min vs.(215 ± 23) min,t =3.78,P =0.004],compared with that of open surgery.There was no significant difference in the numbers of lymph node dissection between the two groups.Esophagus resection length in open group was (4.0 ± 1.2) cm,and that was (4.1 ±1.0)cm in laparoscopic group (t =0.95,P =0.147).Two patients in open group had positive margins and underwent thoracoabdominal resection.There was no difference in major complications between the two groups.Conclusion Hand assisted laparoscopic total gastrectomy for advanced cardiac carcinoma is a safe,feasible,and oncologically sound procedure compared to open procedure.
