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KMID : 0914820100100040241
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Journal of the Korean Gastric Cancer Association
2010 Volume.10 No. 4 p.241 ~ p.246
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The Early Experience of Laparoscopy-assisted Gastrectomy for Gastric Cancer at a Low-volume Center
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Yang Shi-Jun
Ahn Eun-Jung
Park Sei-Hyeog
Kim Jong-Heung
Park Jong-Min
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Abstract
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Purpose: Laparoscopy-assisted gastrectomy (LAG) has become a technically feasible and safe procedure for early gastric cancer treat-ment. LAG is being increasingly performed in many centers; however, there have been few reports regarding LAG at low-volume centers. The aim of this study was to report our early experience with LAG in patients with gastric cancer at a low-volume center.
Materials and Methods: The clinicopathologic data and surgical outcomes of 39 patients who underwent LAG for gastric cancer be-tween April 2007 and March 2010 were retrospectively reviewed.
Results: The mean age was 68.3 years. Thirty-one patients had medical co-morbidities. The mean patient ASA score was 2.0. Among the 39 patients, 4 patients underwent total gastrectomy and 35 patients underwent distal gastrectomy. The mean blood loss was 145.4 ml and the mean operative time was 259.4 minutes. The mean time-to-first flatus, first oral intake, and the postoperative hospital stay was 2.8, 3.1, and 9.3 days, respectively. The 30-day mortality rate was 0%. Postoperative complications developed in 9 patients, as follows: anastomotic leakage, 1; wound infection, 1; gastric stasis, 2; postoperative ileus, 1; pneumonia, 1; cerebral infarction, 1; chronic renal failure, 1; and postoperative psychosis, 1.
Conclusions: LAG is technically feasible and can be performed safely at a low-volume center, but an experienced surgical team and careful patient selection are necessary. Furthermore, for early mastery of the learning curve for LAG, surgeons need education and train-ing in addition to an accumulation of cases.
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KEYWORD
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Stomach neoplasms, Laparoscopy, Gastrectomy
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