Clinical efficacy of laparoscopic gastric stump cancer resection
10.3760/cma.j.issn.1007-631X.2019.02.003
- VernacularTitle:腹腔镜残胃癌根治术的临床疗效分析
- Author:
Junwei BAI
1
;
Chao ZHANG
;
Zhikai WANG
;
Hui ZHANG
;
Yi XIE
Author Information
1. 河南省人民医院(郑州大学人民医院河南大学医学院)胃肠外科 450003
- Keywords:
Stomach neoplasms;
Gastrectomy;
Laparoscopy
- From:
Chinese Journal of General Surgery
2019;34(2):105-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of laparoscopic resection techniques in patients with gastric stump cancer.Methods From Oct 2012 to Oct 2015,the clinical data of 30 patients who had undergone laparoscopic resection for gastric stump cancer in the Department of Gastrointestinal Surgery of He'nan Province People's Hospital were analyzed retrospectively.Results Among the 30 patients,22 cases underwent laparoscopic radical gastrectomy,five cases did palliative gastrectomy and three cases were converted to open palliative resection.The average operation time of laparoscopic surgery was (200 ±55) min,average intraoperative blood loss was (110 ± 80) ml,average number of harvested lymph node was(19 ±7).The average time of first flatus was (3.0 ± 1.0) d.The average first time of semi liquid diet intake was (5.3 ±1.6) d.The average hospital stay was (8.0 ±2.8) d (7-15 d),and the cost of hospitalization was (5.9 ± 1.3) × 104 RMB.Postoperative complications occurred in 2 patients (7％),one with ascites and infection,one with pulmonary infection,all were cured.28 patients (93％) were followed up for a median time of 18 months (2-36 months).During the follow-up period,2 patients died of liver metastasis and 6 patients died of peritoneal metastasis.Conclusions Laparoscopic gastrectomy for gastric stump cancer is safe and feasible with satisfactory short-term outcome.
