Abstract
Introduction: To evaluate the results of totally laparoscopic total gastrectomy (TLTG) and laparoscopicassisted total gastrectomy (LATG) with D2 lymph node dissection to treat gastric cancer in the Nghean
General Friendship Hospital.
Materials and Methods: In a retrospective cohort study, 126 patients with gastric cancer underwent
TLTG and LATG with D2 lymph node dissection between 2013 and 2020.
Results: There were 126 patients with an average age of 60.6 ± 11.1 years. The male/female ratio
was 2.8/1. The percent of patients with tumors at stages I, II, III were 19.0%, 49.2%, 31.7%, 70.6% of
patients had papillary adenocarcinoma and tubular adenocarcinoma. Patients with ring cell carcinoma
wereaccounted for 24.6%. The total percent of incidents during the surgery of the group of TLTG was 4.4%,
and the group of LATG was 20.6%. The average number of harvested lymph nodes in the group of TLTG
was 23.7 ± 7.1, and the group of LATG was 18.0 ± 7.2. The average blood loss in the group of TLTG was
30.56 ± 10.2 ml, and the group of LATG was 36.11 ± 9.9 ml, and the average operation time in the group
of TLTG was 206.4 ± 30.6 minutes, and the group of LATG was 220 ± 40.9 minutes. The total percent
of postoperative complications in the group of TLTG was 4.4%, and the group of LATG was 22.3%. The
hospital stays in the group of TLTG was 7.5 ± 2.1 days, and the group of LATG was 10.2 ± 2.4 days.
Conclusions: TLTG and LATGwith D2 lymph node dissectionwere safe and effective in treating
gastric cancer.
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