EVALUATION OF RESULTS OF LAPAROSCOPIC DISTAL GASTRECTOMY, D2 LYMPHADENECTOMY FOR GASTRIC CARCINOMA

Vĩnh Quý Trương 1, Quốc Ái Đặng 2,3,
1 Quang Tri general hospital
2 Hanoi medical university
3 E hospital

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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.

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References

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