Laparoscopic assisted distal gastrectomy for early gastric cancer: Five years' experience
Laparoscopic assisted distal gastrectomy for early gastric cancer: Five years' experience
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DOI：
10.1016/j.surg.2004.10.012
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发表时间：
2005-03-01
期刊：
影响因子：
3.8
通讯作者：
Kuwano, H
中科院分区：
文献类型：
--
作者：
Mochiki, E;Kamiyama, Y;Kuwano, H
背景腹腔镜辅助胃切除术作为早期胃癌的首选治疗方法越来越多地被报道。然而，目前还没有关于腹腔镜辅助远端胃切除术（LADG）治疗早期胃癌患者预后的报道，也没有将其结果与开腹胃手术结果进行比较的数据。回顾性研究比较腹腔镜辅助和开放远端胃切除术治疗早期胃癌。对89例LADG患者和60例常规开放式远端胃切除术（DG）患者的病理结果、手术结果、并发症和生存率进行比较。LADG和DG在手术时间（209 vs 200 min）、并发症发生率（9% vs 18%）和5年生存率（98% vs 95%）方面无显著差异。LADG和DG在失血量（237 vs 412 mL）、淋巴结数量（19 vs 25）、术后住院时间（17 vs 25 d）和硬膜外镇痛持续时间（2 vs 4 d）方面存在差异（P <0.05）。对于适当选择的患者，LADG可以是早期胃癌的治愈性和微创治疗。
Background. Laparoscopic assisted gastrectomy is being reported increasingly as the treatment of choice for early gastric cancer. However, no reports concerning the prognosis of patients who have undergone laparoscopic assisted distal gastrectomy (LADG) for early gastric cancer or data comparing the results to those obtained after open gastric surgery are yet available.Methods. A retrospective study was performed comparing laparoscopic assisted and open distal gastrectomies for early gastric cancer. Eighty-nine patients who underwent LADG were compared to 60 who underwent conventional open distal gastrectomy (DG) in terms of pathologic findings, operative outcome, complications, and survival.Results. There were no significant differences between LADG and DG in operation time (209 vs 200 minutes), complication rate (9% vs 18%), and 5-year survival rate (98% vs 95%). There were differences between LADG and DG with regard to blood loss (237 vs 412 mL), number of lymph nodes (19 vs 25), postoperative stay (17 vs 25 days), and the duration of epidural analgesia (2 vs 4 days) (P < .05 each).Conclusions. For properly selected patients, LADG can be a curative and minimally invasive treatment for early gastric cancer.