| Laparoscopy-assisted Gastrectomy for Gastric Cancer
: A Single-Surgeon Experience with 179 Consecutive Patients |
| 위암 환자에서 복강경 보조하 위절제술 179례에 대한 분석 |
|
손영길; 류승완; 김인호; 손수상 |
|
|
|
|
| Abstract |
|
Laparoscopic gastrectomy is gaining wider acceptance for the treatment of early
gastric cancer. The purpose of this study was to determine the feasibility and safety of
laparoscopy-assisted gastrectomy with lymph node dissection for gastric cancer. We
retrospectively evaluated the clinicopathologic characteristics and operative outcome of 179
patients with gastric cancer treated with laparoscopy-assisted gastrectomy performed
consecutively by one surgeon. Of the 179 patients; distal gastrectomy was performed in 172
patients (96.1%) and total gastrectomy in 7 patients (3.9%). And 155 patients (86.6%) had early
gastric cancer and 24 patients (13.4%) had advanced gastric cancer. The mean operation time
was 252.28 ± 62.13 minutes and mean blood loss was 72.22 ± 71.80 ml. The mean number of
retrieved lymph nodes was 50.68 ± 19.40. The mean time to sips of water and postoperative
hospital stay were 2.72 ± 0.92 and 8.73 ± 5.64 days; retrospectively. Complications occurred 24
patients (13.4%). Open conversion occurred 1 patient (0.56%) and hospital death occurred 1
patient (0.56%). Laparoscopy-assisted gastrectomy with lymph node dissection is a technically
feasible and safe operation for gastric cancer. Laparoscopy-assisted gastrectomy can be a
curative and minimally invasive treatment for gastric cancer. |
| Key Words:
Gastric cancer, Laparoscopy-assisted gastrectomy |
PDF Links
Full text via DOI
Download Citation
