Short-term Efficacy and Safety of Total Laparoscopic and Laparoscopic-assisted Radical Gastrectomy on Distal Gastric Cancer

• Published in: Zhongliu Fangzhi Yanjiu
• Main Authors: LIN Chunlin, ZHU Guangwei, ZHENG Wei, HUANG Yongjian, YANG Shugang, YE Jianxin
• Format: Article
• Language: Chinese
• Published: Magazine House of Cancer Research on Prevention and Treatment 2018-11-01
• Subjects: gastric cancer; total laparoscopy; laparoscopy-assisted; radical gastrectomy for distal gastric cancer
• Online Access: http://html.rhhz.net/ZLFZYJ/html/8578.2018.18.0427.htm

Objective To explore the short-term efficacy and safety of total laparoscopic gastrectomy and laparoscopic-assisted radical gastrectomy in the treatment of distal gastric cancer. Methods A total of 80 patients with distal gastric cancer in the First Affiliated Hospital of Fujian Medical University from February 2016 to August 2017 were divided into two groups:45 patients were treated with total laparoscopic gastrectomy, and 35 patients were treated with laparoscopic-assisted gastrectomy.The short-term curative effect and safety of two groups were compared. Results In the aspect of intra-operative indicators, the operation time and the number of removed lymph node between two groups did not differed to each other (P > 0.05), while the length of incision and the bleeding volume in total laparoscopy group were significantly smaller than those in the laparoscopy-assisted group (P < 0.05).In the aspect of post-operative indicators, the time to first flatus, hospital stay and the total incidence of complications between two groups did not significantly differed to each other (P > 0.05). Conclusion Comparing with the laparoscopic-assisted gastrectomy, total laparoscopic gastrectomy is safe and feasible with the advantage of less bleeding volume, shorter incision length and smaller healing scar, which are helpful for the patients to accept it.