Abstract:Objective:To explore the safety and feasibility of laparoscope-assisted radical gastrectomy for gastric cancer.
Methods :Fifty-four cases of gastric cancer were selected to carry out laparoscope-assisted radical gastrectomy, including 12 radical total gastrectomies, 18 proximal gastrectomies, and 24 distal gastrectomies. Lymphonodes were dissected by D1 in 29 cases and D2 in 25 cases.
Results:All of the 54 operations were performed successfully. The average operative time was （164.4±38.7） min in total gastrectomies, （142.4±35.2） min in proximal gastrectomies, and （149.1±35.4） min in distal gastrectomies. The mean volume of bleeding was (164.6±80.1) mL in total gastrectomies, (149.5±94.7) mL in proximal gastrectomies, and (152.5±87.7) mL in distal gastrectomies. The average number of lymphonodes dissected was 19.1±6.5 per case. After operation, the mean time of passage of gas via anus was (3.7± 0.7) d, and the mean length of hospital stay was (9.2±1.7) d. Two cases experienced postoperative anastomotic bleeding, and was controlled by conservative treatment. No other complications, such as anastomotic leakage, anastomotic obstruction, or duodenal stump leakage were experienced.
Conclusions:This results reveal that laparoscope-assisted radical gastrectomy is safe and feasible for gastric cancer. As long as the principles of cancer surgery are strictly followed, it can maintain radical tumor removal and exhibit the character of minimal invasion.