Study on the application of laparoscopy-assisted radical gastrectomy for gastric cancer in the elderly / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 1092-1095, 2013.
Article
em Zh
| WPRIM
| ID: wpr-256854
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the feasibility and efficacy of laparoscopy-assisted D2 radical gastrectomy for elderly patients with gastric cancer.</p><p><b>METHODS</b>From October 2007 to October 2012, 233 gastric cancer patients over 65 years underwent D2 lymph node dissection. Among them, 109 patients underwent laparoscopy-assisted radical gastrectomy(LAG group), while 124 patients underwent conventional open gastrectomy(OG group).</p><p><b>RESULTS</b>Compared to the OG group, LAG group was associated with less bleeding [(102.5±34.3) ml vs. (181.7±73.8) ml, P<0.05], quicker postoperative recovery of bowel function[(2.8±0.6) d vs. (4.0±1.2) d, P<0.05], shorter postoperative length of hospital stay[(10.7±7.5) d vs.(14.2±6.5) d, P<0.05], longer operative time [(231.2±51.4) min vs. (208.5±53.6) min, P<0.05]. The postoperative complication rate of LAG group and OG group was 10.1%(11/109) and 21.0%(26/124) respectively(P<0.05). Short-term quality of life of LAG group was better than that of OG group(P<0.05). The 5-year survival rates were 54.5% and 59.2% in LAG and OG groups respectively, and there was no significant difference(P>0.05).</p><p><b>CONCLUSIONS</b>Efficacy of laparoscopy-assisted D2 radical gastrectomy is similar to open gastrectomy in elderly gastric cancer patients with less invasiveness.</p>
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Índice:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
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Qualidade de Vida
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Neoplasias Gástricas
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Cirurgia Geral
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Taxa de Sobrevida
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Resultado do Tratamento
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Laparoscopia
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Gastrectomia
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Excisão de Linfonodo
Limite:
Aged
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Humans
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2013
Tipo de documento:
Article