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KMID : 0978820070100010034
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2007 Volume.10 No. 1 p.34 ~ p.38
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Laparoscopic vs Open Gastrojejunostomy for Malignant Gastric Outlet Obstruction
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Oh Sang-Min
Kim Hyung-Ho
Kim Min-Chan
Jung Ghap-Joong
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Abstract
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Purpose: The traditional management of malignant gastric outlet obstruction has been open gastrojejunostomy (OGJ). As a minimally invasive surgery, laparoscopic gastrojejunostomy (LGJ) has recently been introduced by several investigators. The aim of this study was to compare the clinical results of open and laparoscopic gastrojejunostomy for patients with malignant gastric outlet obstruction.
Methods: From April 1997 to May 2006, we reviewed ten patients who underwent LGJ for malignant gastric outlet obstruction. Ten LGJ patients were compared with ten OGJ patients, and the latter were matched according to the diagnosis, age and gender.
Results: There were no significant differences in mean age, gender, body weight change and mean operative time. The mean time to first flatus (p=0.009) and soft diet (p=0.037) were significantly shorter after LGJ than after OGJ. The postoperative complications ware wound infection (OGJ group: 3 cases) and delayed gastric emptying (OGJ group: 1 case, LGJ group: 2 cases). There were no significant differences in complications, the postoperative hospital stay and postoperative survival.
Conclusion: LGJ for malignant gastric outlet obstruction was feasible and it achieved excellent results with earlier recovery of bowel movement than did OGJ.
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KEYWORD
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Laparoscopy, Gastrojejunostomy, Gastric outlet obstruction
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