Downloads
Abstract
Introduction: Evaluating the feasibility and safety of the technique and the results totally laparoscopic total gastrectomy (TLTG) with D2 lymph node dissection and functional end - to - end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum in the treatment of gastric adenocarcinomar.
Materials and Methods: A prospective descriptive study, 70 patients with gastric adenocarcinoma between July 2017 and November 2020 at the Nghean Friendship General Hospital Results: The average age of 62.47 ± 11.6 years. The male/female ratio was 2.5/1.
The percent of patients with tumors at stages I, II, III were 21,4%, 45,7%, 32,8%. 80.0% of patients had papillary adenocarcinoma and tubular adenocarcinoma, 15.7% of patients had ring cell carcinoma. The average number of harvested lymph nodes was 23,2 ±
6,7. The average number of metastatic lymph nodes was 2.77 ± 3.8. The average blood loss was 32.29 ± 10.09 ml. The average operation time 202,2 ± 28,9 minutes. The total percent of incidents during the surgery was 4.2% and the total percent of postoperative complications was 4.2%. The success rate of the technique of TLTG with D2 lymph node dissection and functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum was 100%. The hospital stays was 7.3 ± 1.9 days and the survival time after surgery was 40,14 ± 1,73 months. The survival rates of one year, two years, three years were 98.6%, 92.1%, 75.9%.
Conclusions: TLTG with D2 lymphanectomy and functional end - to - end esophagojejunostomy without previous resection of esophagus and jejunum was feasibility, safety and effective in the treatment of gastric adenocarcinoma
References
Bray F, Ferlay J, Soerjomataram I et al. Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA CANCER J CLIN. 2018; 68: 394-424.
Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma - 3rd english edition. Gastric Cancer. 2011;14:101-112.
Van Huong Nguyen et al. Results of laparoscopic total gastrectomy and D2 lymph node dissection with the leftsite surgeon and final resection and closure of the duodenal stump in gastric cancer treatmen. Surg. Gastroenterol. Oncol. 2020; 25 (4):199-205.
Okabe H et al. Intracorporeal esophagojejunal anastomosis after gastrectomy for patients with gastric cancer. Surg Endosc. 2009;23:2167-2171
Dinh Van Chien, NV. Huong et al. Totally laparoscopic total gastrectomy with technique of functional endto-end esophagojejunostomy by linear stapler without previous resection of the esophagus and jejunum. International Surgery Journal. 2020;7(11):3614-3619
Ebihara Y, Okushiba S, Kawarada Y et al. Outcome of functional end-to-end esophagojejunostomy in totally laparoscopic total gastrectomy. Langenbecks Arch Surg. 2013;398: 475-479.
Kim EY, Choi HJ, Cho JB, Lee J. Totally Laparoscopic Total Gastrectomy Versus Laparoscopically Assisted Total Gastrectomy for Gastric Cancer. Anticancer Res, 2016;36(4): 1999-2003.
Lee JH, Lee CM, Son SY et al. Laparoscopic versus open gastrectomy for gastric cancer: long-term oncologic results. Surgery. 2014;155(1):154-164.
Shinohara T, Kanaya S, Taniguchi K et al. Laparoscopic Total Gastrectomy With D2 Lymph Node Dissection for Gastric Cancer. Arch Surg. 2009;144(12):1138-1142.
Lee JH, Ahn SH, Park DJ et al. Laparoscopic Total Gastrectomy with D2 Lymphadenectomy for Advanced Gastric Cancer. World J Surg. 2012;36(10):2394-2399.
Kyogoku N, Ebihara Y, Shichinohe T et al. Circular versus linear stapling in esophagojejunostomy after laparoscopic total gastrectomy for gastric cancer: a propensity scorematched study. Langenbecks Arch Surg. 2018;403(4): 463-471.
Jeong O, Ryu SY, Choi WY et al. Risk Factors and Learning Curve Associated with Postoperative Morbidity of Laparoscopic Total Gastrectomy for Gastric Carcinoma. Ann Surg Oncol. 2014;21(9): 2994-3001.
Noh SH, Hyung WJ. Part XV: Postoperative Management and Follow-Up. Surgery for Gastric Cancer. 2019:304-340.
Strong VE. Managing Early and Late Postoperative Complications Following Gastric Surgery. Gastric Cancer: Principles and Practice. 2015:239-249.
Chang KK, Patel MS, Yoon SS. Linear-Stapled Side-toSide Esophagojejunostomy with Hand-Sewn Closure of the Common Enterotomy After Prophylactic and Therapeutic Total Gastrectomy. J Gastrointest Surg. 2017;21(4):712-722.
Doglietto GB et al. Nasojejunal tube placement after total gastrectomy: A multicenter prospective randomized trial. Arch Surg. 2004;139:1309-1313.
Fabio Pacell et al. Naso-gastric or naso - jejunal decompression after partial distal gastrectomy for gastric cancer. Final results of a multicenter prospective randomized trial. Gastric Cancer. 2013; 319: 19-22.
Da Wang et al. Is Nasogastric or Nasojejunal Decompression Necessary Following Gastrectomy for Gastric Cancer? A Systematic Review and Meta-Analysis of Randomised Controlled Trials. J Gastrointest Surg. 2015; 19:195-204.
Aelee Jang et al. Early Postoperative Oral Feeding After Total Gastrectomy in Gastric Carcinoma Patients: A Retrospective Before-After Study Using Propensity Score Matching. Journal of Parenteral and Enteral Nutrition. 2019;43(5):649-657.
Juan Wang et al. Comparison of Early oral feeding with traditional oral feeding after total gastrectomy for gastric gancer: A propensity score matching Analysis. Journal Frontiers in Oncology. 2019;9:1194.
Sierzega M, Choruz R, Pietruszka S et al. Feasibility and outcomes of early oral feeding after total gastrectomy for cancer. J Gastrointest Surg. 2015;19(3):473-479.
Nguyễn Anh Tuấn, Hoàng Công Đắc. Ung thư dạ dày: kết quả theo dõi lâu dài trên 149 trường hợp cắt toàn bộ dạ dày triệt căn. Tạp chí Y học thực hành. 2001;1:39-44.
| Published | 15-01-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 77 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.77.16 | |
| Keywords | : Phẫu thuật nội soi hoàn toàn, ung thư biểu mô dạ dày, cắt toàn bộ dạ dày Totally laparoscopic gastrectomy, gastric adenocarcinoma, total gastrectomy |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2022 Journal of Clinical Medicine Hue Central Hospital