|
KMID : 0616620090150010041
|
|
Journal of Soonchunhyang Medical College
2009 Volume.15 No. 1 p.41 ~ p.47
|
|
|
Clinical Analysis of Laparoscopy-Assisted Gastrectomy for Early Gastric Cancer
|
|
Preap Ley
Cho Gyu-Seok
Kim Hyung-Chul
|
|
|
Abstract
|
|
|
Background:The aim of this study is to analysis the clinical outcome after laparoscopic assisted gastrectomy(LAG) for early gastric cancer.
Patients and methods:We collected data on 28 patients with preoperative diagnostic early gastric cancer (EGC) who underwent LAG between January 2008 and August 2008 in the department of General Surgery, Soonchunhyang University Bucheon Hospital. Parameters including patients and tumor characteristics, operative details and postoperative complications were analyzed.
Results:Distal gastrectomy in 23, proximal gastrectomy in 1, and total gastrectomy in 4 cases were performed. The operation performed was a Dl lymph nodes dissection in 2 (7.2%) patients and a D2 in 26 (92.8%) patients, with a mean number of lymph nodes dissected of 39, The mean operative time was around 234 inutes arid postoperative recovery time is around lhour, The mean estimated blood loss was 433 ml, Patients resumed oral food intake (water) in POD 2 in normal condition and flatus passing. Among 28 cases, there were 6 (21%) with postoperative complications. No deaths occurred in this series.
Conclusions:In this clinical analysis data showed that LAG is safe for early gastric cancer and has several advantages, including less surgical trauma with good cosmetic appearance, less impaired nutrition, less \pain, rapid return of gastrointestinal function, and shorter hospital stay, with no decrease in operative curability, This procedure is coming into wide acceptance and use now,
|
|
|
KEYWORD
|
|
|
Laparoscopic surgery, Gastric cancer, Gastrecctomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|