EVALUATION OF RESULTS OF LAPAROSCOPIC DISTAL GASTRECTOMY, D2 LYMPHADENECTOMY FOR GASTRIC CARCINOMA
Main Article Content
Abstract
Background: Laparoscopic gastrectomy for gastric carcinoma is a difficult surgery. Implemented in Quang Tri Provincial General Hospital in recent years. Therefore, we conducted a study to evaluate the results of a group of patients undergoing laparoscopic distal gastrectomy and D2 lymphadenectomy for gastric carcinoma. Subjects and Methods: This is a prospective study. Including 33 gastric carcinoma patients who underwent laparoscopic distal gastrectomy, D2 lymph node dissection at Quang Tri Provincial General Hospital from 11/2019 to 9/2022. Results: Mean age was 68.06 ±11.98 years. Mean BMI was 18,05 ± 3,44 kg/m2. The stage base on AJCC: Stage III 57.6%; Stage II 39.4%; Stage I 3%. Blood lost intraoperative 81,8 ± 33,8 ml. The mean operative time was: 182 ± 28 minutes. 591 lymph nodes were removed, mean 18 ± 9,7 hạch/ pt. 125 Lymphanode metastasis, mean 18 ± 9.7 nodes/pt. Intraoperative complications was 12.1%. The average length of hospital stay were 12.8 ± 5.3 days. Postopetative complications were 31,1%. Conclusion: Laparoscopic distal gastrectomy for gastric carcinoma treatment at Quang Tri Provincial General Hospital is safe and effective.
Article Details
Keywords
laparoscopic distal gastrectomy, gastric carcinoma.
References
2. Bozzetti F., et al (1999), "Subtotal versus total gastrectomy for gastric cancer: five-year survival rates in a multicenter randomized Italian trial. Italian Gastrointestinal Tumor Study Group", Annals of surgery, 230(2), pp. 170-178.
3. Lee H.J., et al (2019), "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)", Annals of surgery, 270(6), pp. 983-991.
4. Japanese Gastric Cancer Association (2017), "Japanese gastric cancer treatment guidelines 2014 (ver. 4)", Gastric Cancer, 20(1), pp. 1-19.
5. Trần Văn Phơi (2002), "Ung thư dạ dày: đối chiếu kết quả nội soi và phẫu thuật", Y học TP. Hồ Chí Minh, 6(4), tr. 209-214.
6. J.A. Ajani, et al (2017), "Stomach", AJCC Cancer Staging Manual, 8th, pp. 203.