Comparison of outer and inner omental bursa approach for hand assisted laparoscopic total gastrectomy in gastric cancer patients

VernacularTitle:网膜囊外入路和内入路在手助腹腔镜根治性全胃切除术中的对比研究
Author: Guangtan ZHANG ¹ ; Yucheng SONG ; Xuedong ZHANG
Author Information

1. 河南省人民医院普外科
Keywords: Stomach neoplasms; Omentum; Gastrectomy; Laparoscopy
From: Chinese Journal of General Surgery 2018;33(10):809-812
CountryChina
Language:Chinese
Abstract: Objective To evaluate the feasibility and safety of hand assisted laparoscopic total gastrectomy for gastric cancer by two different operative approaches.Methods 191 patients of proximal or gastric corpus cancer operated at our department from Jan 2015 to Dec 2017 were divided into two groups:by outer omental bursa approach group (OBA) and through inner omental bursa approach group (IBA).Operative time,estimated blood loss,number of lymph node retrieval,times of analgesic injection,time to the first flatus and postoperative hospital stay were compared between the two groups.Results Estimated blood loss,times of analgesic injection,time to the first flatus and postoperative hospital stay were not statistically different between the two groups.The operative time was significantly shorter in the IBA than the OBA.There were no significant differences in tumor size,retrieved lymph nodes,AJCC/UICC staging and resection margins between the two groups.Conclusion Hand assisted laparoscopic total gastrectomy by the outer omental bursa approach is technically feasible and safe,and allows for adequate lymphadenectomy.