Article Sidebar

pdf
Date Published: 27/01/2025
Abstract Views: 102
Views pdf: 67
DOI: https://doi.org/10.51298/vmj.v546i1.12523
Issue
Vol. 546 No. 1 (2025)
Section
Các bài báo
How to Cite
Nguyễn, H., & Vũ, N. A. (2025). OUTCOMES OF LAPAROSCOPIC-ASSISTED DISTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY FOR GASTRIC ADENOCARCINOMA. Vietnam Medical Journal, 546(1). https://doi.org/10.51298/vmj.v546i1.12523

OUTCOMES OF LAPAROSCOPIC-ASSISTED DISTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY FOR GASTRIC ADENOCARCINOMA

Hoàng Nguyễn, Ngọc Anh Vũ

Main Article Content

Abstract

Objective: This study evaluates the outcomes of laparoscopic-assisted distal gastrectomy with D2 lymphadenectomy in the treatment of gastric adenocarcinoma at Thai Binh Provincial General Hospital from 2020 to 2023. Methods: A prospective descriptive study was conducted on patients with gastric cancer treated by laparoscopic-assisted distal gastrectomy and D2 lymphadenectomy at Thai Binh Provincial General Hospital between 2020 and 2023. Results: A total of 26 patients underwent laparoscopic-assisted distal gastrectomy for gastric adenocarcinoma treatment at Thai Binh Provincial General Hospital from January 2020 to June 2023. The mean age was 63.45 ± 6.39 years, with a male-to-female ratio of 57% to 43%. The average operative time was 185.77 ± 15.98 minutes (range: 160 to 230 minutes). The mean number of harvested lymph nodes was 17.73 ± 0.96 (range: 16 to 19 nodes). There were no intraoperative complications. The average time to postoperative flatus was 73.38 ± 10.9 hours, and the average duration of postoperative drainage was 5.12 ± 1.17 days. The mean length of postoperative hospital stay was 10.5 ± 2.01 days (range: 7 to 15 days). One patient experienced postoperative bleeding, which was successfully managed conservatively. Postoperative complications were categorized according to the Clavien-Dindo classification as follows: grade I: one patient (3.8%), grades II to IV: none reported. The mean survival time was 41.65 ± 1.31 months. Conclusion: The initial results suggest that laparoscopic-assisted gastrectomy for gastric adenocarcinoma at Thai Binh Provincial General Hospital is a safe procedure with a low rate of intraoperative and postoperative complications.

Article Details

Keywords

: Laparoscopic-assisted gastrectomy, gastric adenocarcinoma

References

Sung, H., J. Ferlay, and R.L. Siegel (2021), Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.. 71(3): p. 209-249.
2. Japanese gastric cancer treatment guidelines 2014 (ver. 4). Gastric Cancer, 2017. 20(1): p. 1-19.
3. Trinh Hồng Sơn and Đặng Tiến Ngọc, Cắt đoạn dạ dày cực dưới với miệng nối kiểu Pean điều trị ung thư 1/3 dưới dạ dày ở người cao tuổi. Tạp chí nghiên cứu y học, 2023. 162(1): p. 101.
4. Japanese Gastric Cancer, A., Japanese Gastric Cancer Treatment Guidelines 2021 (6th edition). Gastric Cancer, 2023. 26(1): p. 1-25.
5. Kitano, S., K. Yasuda, and N. Shiraishi, Laparoscopic surgical resection for early gastric cancer. Eur J Gastroenterol Hepatol, 2006. 18(8): p. 855-61.
6. Li, Z., et al., [Efficacy comparison of laparoscopic versus open distal gastrectomy with D2 lymph dissection for advanced gastric cancer]. Zhonghua Wei Chang Wai Ke Za Zhi, 2016. 19(5): p. 530-4.
7. Thanh, H.C., Nghiên cứu ứng dụng phẫu thuật nội soi hỗ trợ điều trị triệt căn ung thư biểu mô 1/3 dưới dạ dày tại Bệnh viện Quân y 103. Luận án Tiến sĩ Y học, Học viện Quân y, Hà Nội, 2016.
8. Lee, H.J., et al., Short-term Outcomes of a Multicenter Randomized Controlled Trial Comparing Laparoscopic Distal Gastrectomy With D2 Lymphadenectomy to Open Distal Gastrectomy for Locally Advanced Gastric Cancer (KLASS-02-RCT). Ann Surg, 2019. 270(6): p. 983-991.
9.
10. Huang, C.M., et al., Comparision of modified and conventional delta-shaped gastroduodenostomy in totally laparoscopic surgery. World J Gastroenterol, 2014. 20(30): p. 10478-85.