Abstract
Background: Recent studies have supported that three - dimensional (3D) laparoscopy has advantages
in treating gastric cancer compared with conventional two - dimensional (2D) screens. This study investigated
the safety, short - term efficacy, and oncological outcome of three - dimensional (3D) laparoscopic distal
gastric cancer surgery.
Materials and Methods: We prospectively analyzed the clinical data from 37 patients treated with 3D
laparoscopic systemic lymphadenectomy for distal gastric cancer at the Hue Central Hospital from March
2018 to September 2021. The effects on operative time, intraoperative blood loss, the number of lymph nodes removed, postoperative recovery time, complications, and oncologic outcome were analyzed.
Results: Three - dimensional (3D) laparoscopic distal gastrectomy was successfully carried out in 37
patients. The mean operative time was 69,86 ± 20,46 minutes, mean intraoperative blood loss was 171,22
± 15,47 ml, the number of harvested lymph nodes was 20,49 ± 4,11, and the mean postoperative hospital
stay was 10 (6 - 26 days). The incidence of postoperative complications was 8,1%, with 1 case of duodenal
stump fistula. The one - year overall survival rate was 87,27%, and the three - year overall survival rate
was 83,31%.
Conclusions: 3D laparoscopy distal gastrectomy could be performed safely and feasibly. They reducethe
operative time and intraoperative blood loss in distal gastrectomy with a good oncologic outcome.
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| Published | 06-12-2021 — Updated on 24-01-2025 | |
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| Issue | No. 74 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.74.3 | |
| Keywords | Cắt phần xa dạ dày, cắt toàn bộ dạ dày, phẫu thuật nội soi 3D… Laparoscopic gastrectomy, D2 lymphadenectomy, 3D laparoscopy |
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