The clinical comparison of totally laparoscopic versus open total gastrectomy for gastric cancer / 中华外科杂志
Chinese Journal of Surgery
;
(12): 22-25, 2013.
Article
Dans Chinois
| WPRIM
| ID: wpr-247898
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the feasibility, safety and oncological effect of totally laparoscopic total gastrectomy (TLTG).</p><p><b>METHODS</b>The clinical data of TLTG cases and open total gastrectomy (OTG) patients between November 2007 and October 2011 were analyzed. Also compared the feasibility, safety and short-term outcomes of TLTG with OTG.</p><p><b>RESULTS</b>Ninty cases were analyzed. There were 18 cases in the TLTG group and 72 cases in the OTG group. Operation time was significantly longer in the TLTG group ((310 ± 86) minutes) than in the OTG group ((256 ± 57) min, t = 4.963, P = 0.002), However, the blood loss were significantly lower in the TLTG group ((136 ± 84) ml vs. (359 ± 141) ml, t = -11.734, P = 0.000). The post operative morbidity was similar between the TLTG and OTG group. First flatus time (t = -7.020), first diet time (t = -6.166 and -5.698), and post operative hospital stay (t = -4.610) were significantly shorter in the TLTG group than in the OTG group (P < 0.05).</p><p><b>CONCLUSIONS</b>LTG is a safe and feasible procedure with quick post-operation recovery. The laparoscopic side-to-side esophagojejunal anastomosis is a safe and feasible method of alimentary reconstruction after laparoscopic total gastrectomy.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tumeurs de l'estomac
/
Chirurgie générale
/
Résultat thérapeutique
/
Laparoscopie
/
Gastrectomie
/
Laparotomie
/
Durée du séjour
/
Lymphadénectomie
/
Méthodes
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Chinois
Texte intégral:
Chinese Journal of Surgery
Année:
2013
Type:
Article
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