Comparison of Postoperative Recovery Between Laparoscopic Assisted Distal Gastrectomy and Total Laparoscopic Distal Gastrectomy
10.3969/j.issn.1009-6604.2025.03.004
- VernacularTitle:腹腔镜辅助与完全腹腔镜远端胃切除术后恢复的对比
- Author:
Yixiao LU
1
;
Guodong CAO
1
;
Ting LI
1
Author Information
1. 安徽医科大学第一附属医院胃肠外科,合肥 230032
- Publication Type:Journal Article
- Keywords:
Gastric cancer;
Laparoscopic assisted distal gastrectomy;
Total laparoscopic distal gastrectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(3):148-152
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the differences in postoperative recovery between laparoscopic assisted distal gastrectomy(LADG)and total laparoscopic distal gastrectomy(TLDG)for gastric cancer.Methods A retrospective analysis was conducted on clinical data of 99 patients who underwent laparoscopic distal gastrectomy for gastric cancer from May 2019 to April 2024.According to patient preference,49 patients underwent TLDG and 50 patients underwent LADG.The two groups were compared regarding operation duration,intraoperative blood loss,lymph node dissection and metastasis,frequency of postoperative analgesic use,time to gas exhaustion,time to ambulation,postoperative hospital stay,self-care ability score(Barthel Index),total protein,albumin,and white blood cell count,as well as postoperative complications including anastomotic leakage,anastomotic obstruction,gastroparesis,chylous leakage,abdominal infection,incision infection,respiratory system infection and so on.Results Compared with LADG,TLDG resulted in fewer frequency of postoperative analgesic use(median,0 vs.4 times,Z=-5.810,P<0.001)and higher self-care ability scores(median,50.0 points vs.40.0 points,Z=-3.232,P=0.001)after surgery.There were no significant differences in operation duration,intraoperative blood loss,number of lymph nodes obtained,lymph node metastasis,time to gas exhaustion,time to ambulation,postoperative hospital stay,postoperative complications,postoperative total protein,albumin,and white blood cell count between the two groups(P>0.05).Conclusion LADG and TLDG are comparable in surgical efficiency and safety,but TLDG results in less postoperative pain and better self-care ability after surgery,potentially offering advantages in postoperative recovery.
