Laparoscopic partial gastrectomy: Analysis of 18 procedures.
- Author:
Yong CHEN
1
;
San-lin LEI
;
Lun-xi DUAN
;
Wen-jun YI
;
Dan YU
;
Ji-chun SUN
;
Xiong-ying MIAO
;
De-wu ZHONG
Author Information
1. Department Department of Minimally Invasive Gastrointestinal Surgery,Second Xiangya Hospital,Central South University, Changsha 410011,China. zndxxyeyy@126.com.
- Publication Type:Journal Article
- MeSH:
Adult;
Female;
Gastrectomy;
methods;
Humans;
Laparoscopy;
Male;
Middle Aged;
Retrospective Studies;
Stomach Diseases;
surgery
- From:
Journal of Central South University(Medical Sciences)
2007;32(5):921-924
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the laparoscopic partial gastrectomy and the indications.
METHODS:Eighteen patients who underwent laparoscopic partial gastrectomy from August 2005 to May 2006 were analyzed retrospectively.
RESULTS:Sixteen patients (including 6 with gastric cancer, 9 with duodenal ulcer, and 1 with gastric multiple polyps) underwent laparoscopic partial gastrectomy. The other two patients underwent an open surgical procedure (1 patient with the tumor size large than 6 cm, and the other patient with bleeding after loosening one clip). The rate of intraoperative subcutaneous emphysema was 5.88% (1/17), and no death occurred. The operation time was (285+/-30)min on average, the estimated blood loss was (130+/-50)mL, and the hospitalization was (11+/-4)d. One case of obstruction of distal loop happened after the surgery, and the rate was 6.25% (1/16). The patients were followed up for 1 approximately 9 months postoperatively. Trocar puncture-site metastases occurred in one patient.
CONCLUSION:Laparoscopic partial gastrectomy is safe and feasible with skillful laparoscopic technique and with restricted indications, and the surgical outcome may be similar to that of the open surgery.
