Laparoscopy-assisted D2 total gastrectomy in advanced gastric cancer / 中华外科杂志
Chinese Journal of Surgery
; (12): 21-23, 2008.
Article
em Zh
| WPRIM
| ID: wpr-237841
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the efficacy and advantages of laparoscopy-assisted total gastrectomy (LATG) with D2 dissection of lymph nodes versus conventional open D2 total gastrectomy (OTG) in advanced gastric cancer.</p><p><b>METHODS</b>One hundred and twenty-five patients with advanced gastric cancer in the middle or upper third of the stomach were operated on from July 2005 to March 2007. Of the patients, 59 cases received LATG and 66 OTG with D2 lymph nodes dissection. Clinical data were recorded and compared between the two groups.</p><p><b>RESULTS</b>No patient in the LATG group converted to conventional operation with laparotomy. No operation mortality and no severe morbidity occurred in LATG group. As compared with OTG group, in LATG group operation time was longer [(330 +/- 71) min vs. (261 +/- 54) min, P =0.005] in LATG group, but with similar number of lymph node retrieval (36 +/- 13 vs. 34 +/- 16, P =0.450), less operation blood loss [(175 +/- 101) ml vs. (359 +/- 210) ml, P =0.003], earlier recovery of bowel activity (P = 0.015), and a shorter duration of fever after operation (P = 0.024).</p><p><b>CONCLUSIONS</b>LATG with D2 lymph node dissection in advanced gastric cancer is safe and technically feasible with better operative access and visual field, less operation blood loss and earlier recovery.</p>
Texto completo:
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Base de dados:
WPRIM
Assunto principal:
Patologia
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Neoplasias Gástricas
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Cirurgia Geral
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Estudos de Viabilidade
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Resultado do Tratamento
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Laparoscopia
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Gastrectomia
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Excisão de Linfonodo
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Metástase Linfática
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Métodos
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Ano de publicação:
2008
Tipo de documento:
Article