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Date Published: 22/08/2022
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DOI: https://doi.org/10.51298/vmj.v517i1.3177
Issue
Vol. 517 No. 1 (2022)
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How to Cite
Hoàng, N. ., & Đức Minh, Đỗ . (2022). TOTAL LAPAROSCOPIC DISTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY FOLLOWED BY INTRACORPOREAL ROUX-EN Y RECONTRUCTION. Vietnam Medical Journal, 517(1). https://doi.org/10.51298/vmj.v517i1.3177

TOTAL LAPAROSCOPIC DISTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY FOLLOWED BY INTRACORPOREAL ROUX-EN Y RECONTRUCTION

Nguyễn Hoàng1,, Đỗ Đức Minh2
1 Hanoi Medical University Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Objectives: To describe the clinical, paraclinical and early results of total  laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction  for carcinoma of the stomach from august 2021 to july 2022 at Hanoi Medical University Hospital. Methods: A prospective descriptive study on 44 patients with gastric carcinoma who underwent total  laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction. Results and discussion: Mean age. Ratio Female/Male = 1,93. The most common reasons for admission were abdominal pain (77,3%) and gastrointestinal bleeding (18,2%). The average surgical time was 209,4 ± 41,1 minutes. 30 patients had tumor in the antrum (68,2%), 4 patients had pylorus tumor, 8 patients had tumor in the small curvature, 2 patients had tumor in the body and greater cuverture. The rate of cross-sectional biopsies without cancer cells was 100%. The average hospital stay was 9.27 ± 3,65 days. There were no intraoperative complications as well as conversion to open surgery. There were 4 patients having post-operative pancreatitis grage A, accounting for 10.3%, all of them were cured by medical treatment. No deaths. Conclusions: total laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction is a safe and effective method in the treatment of gastric carcinoma.

Article Details

Keywords

Gastric carcinoma, laparoscopic surgery, Roux-en-Y

References

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