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KMID : 0980720090280000142
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Keimyung Medical Journal
2009 Volume.28 No. 0 p.142 ~ p.149
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Laparoscopy-assisted Gastrectomy for Gastric Cancer : A Single-Surgeon Experience with 179 Consecutive Patients
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Son Young-Gil
Ryu Seung-Wan
Kim In-Ho
Sohn Soo-Sang
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Abstract
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Laparoscopic gastrectomy is gaining wider acceptance for the treatment of early gastric cancer. The purpose of this study was to determine the feasibility and safety of laparoscopy-assisted gastrectomy with lymph node dissection for gastric cancer. We retrospectively evaluated the clinicopathologic characteristics and operative outcome of 179 patients with gastric cancer treated with laparoscopy-assisted gastrectomy performed consecutively by one surgeon. Of the 179 patients, distal gastrectomy was performed in 172 patients (96.1%) and total gastrectomy in 7 patients (3.9%). And 155 patients (86.6%) had early gastric cancer and 24 patients (13.4%) had advanced gastric cancer. The mean operation time was 252.28 ± 62.13 minutes and mean blood loss was 72.22 ± 71.80 ml. The mean number of retrieved lymph nodes was 50.68 ± 19.40. The mean time to sips of water and postoperative hospital stay were 2.72 ± 0.92 and 8.73 ± 5.64 days, retrospectively. Complications occurred 24 patients (13.4%). Open conversion occurred 1 patient (0.56%) and hospital death occurred 1patient (0.56%). Laparoscopy-assisted gastrectomy with lymph node dissection is a technically feasible and safe operation for gastric cancer. Laparoscopy-assisted gastrectomy can be a curative and minimally invasive treatment for gastric cancer.
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KEYWORD
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Gastric cancer, Laparoscopy-assisted gastrectomy
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