Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy
Introduction: At present, the main treatment of gastric cancer is surgical resection combined with radiotherapy and chemotherapy, the most important part of which is radical gastrectomy. Laparoscopic radical gastrectomy for advanced gastric cancer is difficult to operate, and whether it can achieve...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=41;epage=46;aulast=Jiao |
| _version_ | 1818524015578316800 |
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| author | Jie Jiao Shaozhuang Liu Cheng Chen A. Maimaiti Qingsi He Sanyuan Hu Wenbin Yu |
| author_facet | Jie Jiao Shaozhuang Liu Cheng Chen A. Maimaiti Qingsi He Sanyuan Hu Wenbin Yu |
| author_sort | Jie Jiao |
| collection | DOAJ |
| description | Introduction: At present, the main treatment of gastric cancer is surgical resection combined with radiotherapy and chemotherapy, the most important part of which is radical gastrectomy. Laparoscopic radical gastrectomy for advanced gastric cancer is difficult to operate, and whether it can achieve the same curative effect with the laparotomy is still controversial.
Materials and Methods: This study retrospectively analysed the clinical data of 269 gastric cancer patients surgically treated by our medical team from May 2011 to December 2015 for comparative analysis of the clinical efficacy of laparoscopic-assisted radical gastrectomy and traditional open radical gastrectomy.
Results: The laparoscopic surgery group had longer duration of surgery, less intra-operative blood loss, shorter post-operative exhaust time, shorter post-operative hospital stay and shorter timing of drain removal. The average number of harvested lymph nodes in the laparoscopic surgery group was 22.9 ± 9.5 per case. And in the laparotomy group the average number was 23.3 ± 9.9 per case. The difference had no statistical significance. With the increase of the number of laparoscopic surgical procedures, the amount of intra-operative blood loss gradually decreases, and the duration of surgery is gradually reduced.
Conclusion: Laparoscopic radical gastrectomy is superior to open surgery in the aspects of intra-operative blood loss, post-operative exhaust time, post-operative hospital stay and timing of drain removal. With the number of laparoscopic radical gastrectomy cases increased, the duration of surgery is shortened and the amount of intra-operative blood loss will decrease. |
| first_indexed | 2024-12-11T05:51:57Z |
| format | Article |
| id | doaj.art-ecce5749c84e4f21a1300558e131989f |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-11T05:51:57Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-ecce5749c84e4f21a1300558e131989f2022-12-22T01:18:48ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212020-01-01161414610.4103/jmas.JMAS_155_18Comparative study of laparoscopic radical gastrectomy and open radical gastrectomyJie JiaoShaozhuang LiuCheng ChenA. MaimaitiQingsi HeSanyuan HuWenbin YuIntroduction: At present, the main treatment of gastric cancer is surgical resection combined with radiotherapy and chemotherapy, the most important part of which is radical gastrectomy. Laparoscopic radical gastrectomy for advanced gastric cancer is difficult to operate, and whether it can achieve the same curative effect with the laparotomy is still controversial. Materials and Methods: This study retrospectively analysed the clinical data of 269 gastric cancer patients surgically treated by our medical team from May 2011 to December 2015 for comparative analysis of the clinical efficacy of laparoscopic-assisted radical gastrectomy and traditional open radical gastrectomy. Results: The laparoscopic surgery group had longer duration of surgery, less intra-operative blood loss, shorter post-operative exhaust time, shorter post-operative hospital stay and shorter timing of drain removal. The average number of harvested lymph nodes in the laparoscopic surgery group was 22.9 ± 9.5 per case. And in the laparotomy group the average number was 23.3 ± 9.9 per case. The difference had no statistical significance. With the increase of the number of laparoscopic surgical procedures, the amount of intra-operative blood loss gradually decreases, and the duration of surgery is gradually reduced. Conclusion: Laparoscopic radical gastrectomy is superior to open surgery in the aspects of intra-operative blood loss, post-operative exhaust time, post-operative hospital stay and timing of drain removal. With the number of laparoscopic radical gastrectomy cases increased, the duration of surgery is shortened and the amount of intra-operative blood loss will decrease.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=41;epage=46;aulast=Jiaogastric cancerlaparoscopic surgerylearning curves |
| spellingShingle | Jie Jiao Shaozhuang Liu Cheng Chen A. Maimaiti Qingsi He Sanyuan Hu Wenbin Yu Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy Journal of Minimal Access Surgery gastric cancer laparoscopic surgery learning curves |
| title | Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy |
| title_full | Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy |
| title_fullStr | Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy |
| title_full_unstemmed | Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy |
| title_short | Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy |
| title_sort | comparative study of laparoscopic radical gastrectomy and open radical gastrectomy |
| topic | gastric cancer laparoscopic surgery learning curves |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=41;epage=46;aulast=Jiao |
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