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Abstract
Background: Treatment Advanced gastric cancer is gastrectomy with D2 lymph node dissection. Evidence of implementation of laparoscopic gastrectomy for locally advanced gastric cancer is currently insufficient, so we offer a study to evaluate this laparoscopic gastrectomy with D2 lymphadenectomy for advanced gastric cancer.
Methods: A descriptive study included 51 patients with advanced gastric cancer, who underwent laparoscopic gastrectomy from February 2022 to December 2023.
Results: According to the TNM of the 8th AJCC, the rates of pIIA, pIIB, pIIIA and pIIIB stages were 41.2%, 33.3%, 19.6% and 5.9%, respectively. The surgical method was 72.5% distal gastrectomy and 27.5% total gastrectomy. The average surgical time was 187.75 ± 46.01 minutes (120 - 330 minutes). Postoperative complications were 13.7%, and there were no deaths. According to the Clavien-Dindo classification, there were 9.8% stage I, 3.9% stage II and 1.9% stage III.
Conclusion: Laparosopic gastrectomy with D2 lymphadenectomy is a safe and feasible procedure for the treatment of advanced gastric cancer in short-term results.
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| Published | 28-12-2024 | |
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| Issue | Vol. 16 No. 9 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.16.9.14 | |
| Keywords | Ung thư dạ dày, ung thư dạ dày tiến triển, phẫu thuật nội soi cắt dạ dày, vét hạch D2 Gastric cancer, advanced gastric cancer, laparoscopic gastrectomy, D2 lymphadenectomy |
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