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Abstract
Background: Recent studies have supported three-dimensional (3D) laparoscopy has the advantages
and characteristics of more radical procedures in the treatment of gastric cancer. The objective of this study
was to investigate the short-term efficacy and safety of 3D laparoscopic gastrectomy in the treatment of
gastric cancer.
Materials and Methods: Prospective study, herein, we analyzed the clinical data from 22 consecutive
patients with gastric cancer who received totally laparoscopic distal gastrectomy (18 patients), total
gastrectomy (4 patients) and lymphadenectomy in Hue Central Hospital from March of 2018 to June of
2019. The effects on operative time, bleeding, hospitalization time, complications were analyzed.
Results: Totally 3D laparoscopic gastrectomy was successfully carried out in 22 patients. In the group of
distal gastrectomy (18 cases), the mean operation time was 173.322.7 mins, the intraoperative blood loss
was 76.424.3 ml. In the group of total gastrectomy (4 cases), the mean operation time was 195.850.4
mins, the intraoperative blood loss was 97.632.7 ml. Postoperative, all patients were less pain, faster
recovery and early discharge. There is 01 case of duodenal stump fistula after operation and was treated
by re-operation
Conclusions: 3D laparoscopic gastrectomy is safe and feasible.
Key words: Laparoscopic gastrectomy, D2 lymphadenectomy,…
References
Võ Duy Long (2017), Đánh giá kết quả phẫu
thuật nội soi điều trị ung thư dạ dày theo giai
đoạn I, II, III, Luận án tiến sĩ y học, Đại học Y
Dược thành phố Hồ Chí Minh.
Bệnh viện Trung ương Huế
Tạp Chí Y Học Lâm Sàng - Số 55/2019
American Cancer Society. What Are the Key
Statistics About Stomach Cancer? 2011.
Available at: http://www.cancer.org/Cancer/
StomachCancer/DetailedGuide/stomach-cancerkey-statistics. Accessed September 29, 2012.
Al-Refaie WB, Abdalla EK, Ahmed SA, et
al. Gastric cancer. In: Feig BW, Berger DH,
Fuhrma GH, editors. The MD Anderson surgical
Oncology Hand-book. 4th edition. Philadelphia:
Lippincott William & Wilkins; 2006. p. 205–40.
Antonakis, P. T., et al. (2014). “Laparoscopic
gastric surgery for cancer: Where do we stand?”
World Journal of Gastroenterology : WJG
(39): 14280-14291.
Antonakis, P. T., et al. (2014). “Laparoscopic
gastric surgery for cancer: Where do we stand?”
World Journal of Gastroenterology : WJG
(39): 14280-14291
J. L., et al. (2016). Randomized, controlled
trial comparing clinical outcomes of 3D and
D laparoscopic surgery for gastric cancer: an
interim report.
Japanese Gastric Cancer Association (2008).
Japanese Classification of Gastric Carcinoma -
nd English Edition. Gastric Cancer, 1: 10-24.
Jemal, A., et al. (2011). “Global cancer statistics.”
CA: a cancer journal for clinicians 61(2): 69-90.
Liu, J., et al. (2018). “Comparative study of
clinical efficacy using three-dimensional and
two-dimensional laparoscopies in the treatment
of distal gastric cancer.” Onco Targets and
therapy 11: 301-306.
Sahu, D., et al. (2014). “3D Laparoscopy - Help
or Hype; Initial Experience of A Tertiary Health
Centre.” Journal of Clinical and Diagnostic
Research : JCDR 8(7): NC01-NC03.
Sinha, R. Y., et al. (2017). “Three-dimensional
laparoscopy: Principles and practice.” Journal of
Minimal Access Surgery 13(3): 165-169.
Curro, G., et al. (2015). Three-Dimensional Versus
Two-Dimensional Laparoscopic Cholecystectomy:
Is Surgeon Experience Relevant?
Chen K, Zhai XT, Pan JH et al. (2017), “Shortterm outcomes of laparoscopic total gastrectomy
for gastric cancer: a comparative study with
laparoscopic distal gastrectomy at a high-volume
center”, Minim Invasive Ther Allied Technol,
(3), p. 164-170.
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Copyright (c) 2019 Journal of Clinical Medicine Hue Central Hospital