Hand-assisted laparoscopic vs laparoscopic assisted surgery for Siewert type Ⅱ and Ⅲ gastroesophageal junction adenocarcinoma
10.3760/cma.j.issn.1007-631X.2019.04.002
- VernacularTitle:手助腹腔镜与腹腔镜辅助SiewertⅡ型和Ⅲ型胃食管结合部腺癌根治术的比较
- Author:
Peng ZHANG
1
;
Peiming ZHENG
;
Yuan YUAN
;
Xiaofei SONG
;
Guangtan ZHANG
;
Yu GUO
;
Xuedong ZHANG
;
Yucheng SONG
Author Information
1. 河南省人民医院胃肠外科
- Keywords:
Adenocarcinoma;
Esophagogastric junction;
Laparoscopy
- From:
Chinese Journal of General Surgery
2019;34(4):293-297
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical curative effect and prognosis of hand-assisted laparoscopic (HALS) and laparoscopic assisted surgery for Siewert Ⅱ,Ⅲ gastroesophageal junction adenocarcinoma (AEG).Methods A retrospective analysis of 105 patients with advanced Siewert type Ⅱ and Ⅲ AEG between Jan 2012 and Jan 2013 was made on the operation time,amount of blood loss,number of lymph nodes dissected,postoperative complications,postoperative hospital stay and postoperative 5-year survival rate.Results HALS resulted in significantly shorter operation time and the average postoperative hospital stay [(203±54) min比(283±72) min,t=-4.902,P=0;(10±4) d 比(13±3)d,t=-0.939,P =0.002] for advanced Siewert type Ⅱ and Ⅲ AEG.There was no conversion to open surgery in HALS group,while there was 3 cases in laparoscopy assisted surgery group (x2 =4.118,P =0.042).5 year overall survival (OS) in HALS group was 46.7％ (95％ CI39.98-53.88),and it was 60.9％ for stage Ⅱ patients 37.8％ for stage Ⅲ.5 years OS rate was not significantly different between the two groups.Conclusion HALS compared with laparoscopy assisted surgery in the treatment of advanced Siewert type Ⅱ and type Ⅲ AEG has shorter operation time,higher safety operation,shorter postoperative recovery time.The number of patients with postoperative complications and the 5-year survival rate after surgery are not significantly different between the two groups.
