Comparison of laparoscopically assisted and open radical distal gastrectomy with extended lymphadenectomy for gastric cancer management |
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Authors: | W Ziqiang Q Feng C Zhimin W Miao Q Lian L Huaxing Y Peiwu |
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Institution: | (1) Department of General Surgery and Center of Minimal Invasive Gastrointestinal Surgery, Southwest Hospital, The Third Military Medical University, Chongqing, Gaotanyan Street, Shapingba district, 400038, China |
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Abstract: | Background The feasibility and safety of laparoscopically assisted gastrectomy with extended lymphadenectomy for advanced gastric cancer
has rarely been studied. This study aimed to investigate the feasibility, safety, and cancer clearance of laparoscopically
assisted distal gastrectomy with D2 lymphadenectomy.
Methods Of the 44 patients with distal gastric cancer who underwent radical distal gastrectomy from March 2004 to May 2005, 35 were
treated with D2/D2+ lymphadenectomy. These patients were compared with 58 patients who, during the same period, underwent a conventional open
radical distal gastrectomy.
Results The mean total number of retrieved lymph nodes (30.11 ± 16.97) and the mean tumor margin were comparable with those in the
open group. The mean operative time for laparoscopically assisted distal gastrectomy was significantly longer than for open
surgery (282.84 ± 32.81 min vs 223.75 ± 23.25 min). The patients in the laparoscopic surgery group had less blood loss, shorter
times of analgesic injection, and a faster recovery. The rates of complications were comparable between two groups.
Conclusions Although laparoscopically assisted radical gastrectomy with D2 lymphadenectomy is more time consuming than open surgery, it
is a safe, feasible procedure that achieves cancer clearance similar to open surgery and leads to a quick postoperative recovery. |
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Keywords: | Distal gastectomy Gastric cancer Laparoscopic surgery Lymphadenctomy |
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