EVALUATION OF EARLY RESULTS OF LOWER POLE GASTRECTOMY BETWEEN LAPAROSCOPIC AND OPEN SURGERY TREATMENT OF GASTRIC CARCANCER
Main Article Content
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.
Article Details
Keywords
Gastric carcinoma, gastrectomy.
References
2. Ramos MFKP, Pereira MA, Dias AR, Ribeiro U, Zilberstein B, Nahas SC. Laparoscopic gastrectomy for early and advanced gastric cancer in a western center: a propensity score-matched analysis. Updates Surg. 2021 Oct;73(5):1867-77.
3. Trịnh Hồng Sơn. Nghiên cứu nạo vét hạch trong điều trị phẫu thuật ung thư dạ dày, [Luận án tiến sĩ Y khoa]: Ngoại khoa, Trường Đại Học Y Hà Nội; 2001.
4. Nguyễn Quang Bộ. Nghiên cứu kết quả điều trị ung thư dạ dày 1/3 dưới bằng phẫu thuật triệt căn có kết hợp hóa chất [Luận án Tiến sỹ y học], Đại học Y dược Huế; 2017.
5. Association JGC. Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer. 2011;14(2):101–112.
6. Huang Z. LG, Xu Y. et al Comparison of laparoscope-assisted D2 radical total gastrectomy and open gastrectomy for gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi. 2014;17(8):781–784.
7. Lee WJ, Wang W, Chen TC, Chen JC, Ser KH. Totally laparoscopic radical BII gastrectomy for the treatment of gastric cancer: a comparison with open surgery. Surgical laparoscopy, endoscopy & percutaneous techniques. 2008;18(4):369-374.
8. Lee SH, Kim IH, Kim IH, Kwak SG, Chae HD. Comparison of short-term outcomes and acute inflammatory response between laparoscopy-assisted and totally laparoscopic distal gastrectomy for early gastric cancer. Annals of surgical treatment and research. 2015;89(4):176-182.