Downloads
Abstract
Background: The goal of this study was to report on the experience of laparoscopic total gastrectomy (LTG) in 126 patients with gastric cancer
Materials and Methods: Retrospective descriptive study of 126 patients who underwent LTG for gastric cancer between 2014 and May 2021.
Results: Mean age 60,6 ± 11,1; gastric cancer at stage I, II, III was 19,0%, 49,2%, 31,7% respectively. 71,4% patients underwent totally LTG and functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum. 3.2% of cases had complications during surgery and 2,4% of cases had complications after surgery. There was no postoperative deaths. The average number of dredged lymph nodes was 22.06 ± 7.6 lymph nodes. The mean blood loss was 32.14 ± 10.4 ml. The mean
operative time was 210.4 ± 34.3 minutes. The mean time for beginning oral feeding was 4.4 ± 1.9 days. The mean hospital stay was 8.3 ± 2.5 days. The mean overall survival was 36.9 ± 2,25 months.
Conclusions: LTG is a safe and effective technique for the treatment of gastric cancer. The technique functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum was safe and saving.
Keywords: Technique of laparoscopic gastrectomy, gastric cancer.
References
F Bray 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 Cancer2011;14:101-112.
Van Huong Nguyen et al. Results of laparoscopic total gastrectomy and D2 lymph node dissection with the left-site surgeon and final resection and closure of the duodenal stump in gastric cancer treatmen, Surg. Gastroenterol. Oncol2020;25(4):199-205.
Okabe H et al.Intracorporeal esophagojejunal anastomosis after gastrectomy forpatients with gastric cancer. Surg Endosc 2009;23:2167–2171
Steichen FM. The use of staplers in anatomical side-to-sideand functional end-to-end enteroanastomoses. Surgery 1968; 64:948–953
Ebihara Yet al. Outcome of functional end-to-end esophagojejunostomy in totally laparoscopic total gastrectomy.Langenbecks Arch Surg 2013;398:475-479.
Kim EY et al. Totally Laparoscopic Total Gastrectomy Versus Laparoscopically Assisted Total Gastrectomy for Gastric Cancer.Anticancer
Res 2016;36(4):1999-2003.
Nguyen Van Huong, DV. Chien, et al (2020) “Comparison of outcomes between totally laparoscopic total gastrectomy and laparoscopic- assisted total gastrectomy for gastric cancer: A retrospective cohort study”.Laparosc Endosc Surg Sci 2020;27(3), PP:162-168.
Dinh Van Chien, NV. Huong, et al (2020), “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 | November 2020 | Vol 7 | Issue 11. PP: 3614-3619.
Kyogoku N, Ebihara Y, Shichinohe T, et al (2018). “Circular versus linear stapling in esophagojejunostomy after laparoscopic total gastrectomy for gastric cancer: a propensity score-matched study”,Langenbecks Arch Surg, 403(4): 463-471.
Chang KK, Patel MS, Yoon SS (2017). “Linear- Stapled Side-to-Side Esophagojejunostomy with Hand-Sewn Closure of the Common Enterotomy After Prophylactic and Therapeutic Total Gastrectomy”,J Gastrointest Surg, 21(4): 712-722.
| Published | 19-02-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 71 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.71.10 | |
| Keywords | Kỹ thuật phẫu thuật nội soi dạ dày, ung thư dạ dày Technique of laparoscopic gastrectomy, gastric cancer |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2021 Journal of Clinical Medicine Hue Central Hospital