ISSN: 1859 - 2872
The early results of totally laparoscopic distal gastrectomy with D2 lymph node dissection for gastric cancer
Main Article Content
Keywords
Abstract
Objective: To assess the early results of totally laparoscopic distal gastrectomy with D2 lymph node dissection for gastric cancer. Subject and method: From 22/01/2019 to 7/07/2020, 100 patients were performed totally laparoscopic distal gastrectomy, D2 lymph nodes dissection at Digestive Surgery Department, 108 Military Central Hospital. Interventional study, clinical description. Data on patients and surgical characteristics, postoperative pathology characteristics, postoperative complications were collected and analyzed. Result: Postoperative pathology: T1a was 14%, T1b was 16%, T2 was 20%, T3 was 25%, T4a was 25%; N0 was 61%, N1 was 10%, N2 was 16%, N3 was 13%. The mean number of retrieved lymph nodes was 28.53 ± 10.34. The total number of havested lymph node was 2840; 8.38% was metastasis lymph node. The mean distance from the resection edge to the tumor was 6.23 ± 3.32cm. 100% of the line cut above the tumor and the line cut below the tumor had no cancer cells. There was no open conversion. The mean operating time was 141.06 ± 26.32 (129 - 215) mins, the mean blood loss was 19.16 ± 10.92 (10 - 30) ml, and the mean hospital stay was 9 day (5 - 44) days. There was 1 case (1%) of anastomosis leakage after surgery, 03 patients presented with afferent loop syndrome, 01patient had the fistula between stomach and transverse colon, discovered 1 year after surgery; 1 patient had to reoperate due to internal hernia 3 months postoperatively. Conclusion: Totally laparoscopic distal gastrectomy with D2 lymph node dissection can be done safely and feasibly in the treatment of stomach cancer
Article Details
References
2. Zhao Y, Yu P, Hao Y et al (2011) Comparison of outcomes for laparoscopically assisted and open radical distal gastrectomy with lymphadenectomy for advanced gastric cancer. Surg Endosc 25(9): 2960-2966. doi:10.1007/s00464-011-1652-y.
3. Strong VE, Devaud N, Karpeh M (2009) The role of laparoscopy for gastric surgery in the West. Gastric Cancer 12(3): 127-131. doi:10.1007/s10120-008-0516-1.
4. Guzman EA, Pigazzi A, Lee B et al (2009) Totally laparoscopic gastric resection with extended lymphadenectomy for gastric adenocarcinoma. Ann Surg Oncol 16(8): 2218-2223. doi:10.1245/s10434-009-0508-3.
5. Hwang SH, Park DJ, Jee YS et al (2009) Actual 3-year survival after laparoscopy-assisted gastrectomy for gastric cancer. Arch Surg 144(6): 559-564. doi:10.1001/archsurg.2009.110.
6. Lee J, Kim W (2009) Long-term outcomes after laparoscopy-assisted gastrectomy for advanced gastric cancer: Analysis of consecutive 106 experiences. J Surg Oncol 100(8): 693-698. doi:10.1002/jso.21400.
7. Pak KH, Hyung WJ, Son T et al (2012) Long-term oncologic outcomes of 714 consecutive laparoscopic gastrectomies for gastric cancer: results from the 7-year experience of a single institute. Surg Endosc 26(1): 130-136. doi:10.1007/s00464-011-1838-3.
8. Pugliese R, Maggioni D, Sansonna F et al (2010) Subtotal gastrectomy with D2 dissection by minimally invasive surgery for distal adenocarcinoma of the stomach: Results and 5-year survival. Surg Endosc 24(10): 2594-2602. doi:10.1007/s00464-010-1014-1.
9. Song J, Lee HJ, Cho GS et al (2010) Recurrence following laparoscopy-assisted gastrectomy for gastric cancer: A multicenter retrospective analysis of 1,417 patients. Ann Surg Oncol 17(7): 1777-1786. doi:10.1245/s10434-010-0932-4.
10. Huscher CGS, Mingoli A, Sgarzini G et al (2007) Totally laparoscopic total and subtotal gastrectomy with extended lymph node dissection for early and advanced gastric cancer: Early and long-term results of a 100-patient series. Am J Surg 194(6): 839-844; discussion 844. doi:10.1016/j.amjsurg.2007.08.037.
Article Sidebar
