EVALUATION OF EARLY RESULTS OF LOWER POLE GASTRECTOMY BETWEEN LAPAROSCOPIC AND OPEN SURGERY TREATMENT OF GASTRIC CARCANCER

Phúc Thanh Hoàng, Trọng Hiền Dương

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Abstract

Objectives: To evaluate the feasibility and early results of gastrectomy and laparoscopic lymphadenectomy compared with open gastrectomy and lymphadenectomy in gastric cancer.


Methods: Conducting a retrospective case-control paired study, convenient sampling, with 16 open surgery patients in the control group and 16 laparoscopic surgery patients in the case group in 2019. Results: The average surgical time for the laparoscopic group was 220.0±45.3 minutes longer than 181.9±41.0 minutes in the open surgery group (p <0.05). The number of lymph nodes dredged in the 2 groups was the same. The time to flatus in the laparoscopic surgery group was earlier than the open surgery group (3.13±0.62 vs. 3.75±1.13 days; p < 0.05). The laparoscopic surgery group had a lower rate of using post-operative pain relief than the open surgery group (56.2% versus 91.9%, p < 0.05). Hospital stay after laparoscopic surgery was shorter than open surgery (7.81 ± 1.76 vs. 10.25 ± 4.68 days; p < 0.05). Conclusion: Although laparoscopic surgery takes longer than open surgery and requires more advanced techniques, it results in shorter recovery times, less analgesia, and less physical discomfort. does not affect the possibility of surgical treatment and cancer outcomes.

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