Clinical Comparative study of Short-Term Outcomes of D2 Radical Distal Gastrectomy for Gastric Cancer Between Hand Assisted Laparoscopic and Traditonal Open Techniques_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 CAOYong-kuan , ZHANGGuo-hu , WANGPei-hong , LUOGuo-de , ZHANGLin , LIULi-ye , GONGJia-qing , ZHOUJun , HUANGLing , GANWei , SONGYa-ning

Gastrointestinal Ward of PLA General Surgery Centre, Chengdu Army General Hospital, Chengdu 610083, Sichuan Province, China;

Corresponding author：

CAOYong-kuan, Email: caoyok@163.com

Keywords：

Gastric cancer; Hand-assisted laparoscopy; Radical gastrectomy

DOI：

10.7507/1007-9424.20160250

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To analyze short-term outcomes of hand assisted laparoscopic (HAL) D2 radical distal gastrectomy for gastric cancer and summarize clinical experiences. Methods The clinical data of 199 patients with gastric cancer undergoing D2 radical distal gastrectomy from December 2010 to December 2013 in this hospital were analyzed. HAL (HAL group, n=92) and traditonal open (TO group, n=107) D2 radical distal gastrectomy were performed. The operation time, incision length, intraoperative blood loss, number of lymph nodes harvested, postoperative hospital stay, and postoperative complications were compared between these two groups. Results There was no residue of cancer cells at the surgical margin in the HAL group and the TO group. Compared with the TO group, the average incision length was obviously shorter (P < 0.01) and the average intraoperative blood loss was obviously less (P < 0.05) in the HAL group. The average operation time, the average number of lymph nodes harvested, and the average postoperative hospital stay had no significant differences between the HAL group and the TO group (P > 0.05). One case was died of unknown gastrointestinal bleeding in the HAL group and the TO group, respectively. The postoperative complication rate was 9.78% (9/92) in the HAL group and 11.21% (12/107) in the TO group, there was no significant difference (P > 0.05). Conclusions HAL D2 radical distal gastrectomy for gastric cancer don't increase operation time. It has some advantages of minimal invasion and safety as compared with traditional open surgery.

Citation： CAOYong-kuan, ZHANGGuo-hu, WANGPei-hong, LUOGuo-de, ZHANGLin, LIULi-ye, GONGJia-qing, ZHOUJun, HUANGLing, GANWei, SONGYa-ning. Clinical Comparative study of Short-Term Outcomes of D2 Radical Distal Gastrectomy for Gastric Cancer Between Hand Assisted Laparoscopic and Traditonal Open Techniques. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(8): 953-956. doi: 10.7507/1007-9424.20160250 Copy

1.	翟志伟, 李明, 顾晋.手辅助腹腔镜外科技术在腹部外科手术中的应用.中华胃肠外科杂志, 2012, 15(8):862-863.
2.	Vogel JD, Lian L, Kalady MF, et al. Hand-assisted laparoscopic right colectomy:how does it compare to conventional laparoscopy? J Am Coll Surg, 2011, 212(3):367-372.
3.	盛勤松, 刘凡隆, 陈文斌, 等.手辅助腹腔镜结直肠癌根治术111例短期疗效分析.中华胃肠外科杂志, 2011, 14(4):288-289.
4.	宋武, 韩方海, 何裕隆, 等.手辅助与腹腔镜外科治疗结直肠癌的临床疗效观察.中华医学杂志, 2011, 91(35):2485-2487.
5.	刘凡隆, 叶锋, 林建江, 等.手辅助腹腔镜全结肠切除术治疗结肠无力症的临床研究.中华外科杂志, 2007, 45(19):1305-1307.
6.	曹永宽, 刘立业, 罗国德, 等.手助腹腔镜行胃癌D2根治术的手术安全与技术路径探讨.中国普通外科杂志, 2012, 21(4):373-376.
7.	Gong JQ, Cao YK, Wang YH, et al. Three-step hand-assisted laparoscopic surgery for radical distal gastrectomy:an effective surgical approach. Int J Clin Exp Med, 2014, 7(8):2156-2164.
8.	Ohki J, Nagai H, Hyodo M, et al. Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method. Surg Endosc, 1999, 13(11):1148-1150.
9.	Ikeda Y, Sasaki Y, Niimi M, et al. Hand-assisted laparoscopic proximal gastrectomy with jejunal interposition and lymphadenectomy. J Am Coll Surg, 2002, 195(4):578-581.
10.	Usui S, Inoue H, Yoshida T, et al. Hand-assisted laparoscopic total gastrectomy for early gastic cancer. Surg Laparosc Endosc Percutan Tech, 2003, 13(5):304-307.
11.	胡建昆, 杨昆, 陈心足, 等.手辅助腹腔镜胃癌根治术2例报道.中国普外基础与临床杂志, 2011, 18(5):520-522.
12.	胡巍.手辅助腹腔镜胃癌根治术55例.临床医学, 2013, 33(4):62-63.
13.	Wong SK, Tsui DK, Li MK. Laparoscopic distal gastrectomy for gastric cancer:initial experience on hand-assisted technique and totally laparoscopic technique. Surg Laparosc Endosc Percutan Tech, 2009, 19(4):298-304.
14.	曹永宽, 刘立业, 周均, 等.手辅助腹腔镜与腹腔镜辅助和开腹胃癌根治性切除术的临床比较.中华胃肠外科杂志, 2012, 15(7):740-742.
15.	刘逸, 揭志刚, 李正荣, 等.改良手辅助腹腔镜胃癌根治术手术技巧探讨.中华胃肠外科杂志, 2013, 16(10):1009-1010.
16.	曹永宽, 周均, 刘立业, 等.手辅助腹腔镜与腹腔镜辅助胃癌D2根治术的临床对照研究.中国普外基础与临床杂志, 2012, 19(11):1208-1212.
17.	Gong JQ, Cao YK, Li YM, et al. Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy:a prospective study. Surg Endosc, 2014, 28(10):2998-3006.
18.	Gong JQ, Cao YK, Wang YH, et al. Learning curve for hand-assisted laparoscopic D2 radical gastrectomy. World J Gastroenterol, 2015, 21(5):1606-1613.
19.	Zhang GT, Zhang XD. A hand-assisted laparoscopic distal gastrectomy can be an effective way in obese patients. Surg Laparosc Endosc Percutan Tech, 2013, 23(2):145-148.
20.	Gong JQ, Cao YK, Wang YH, et al. Three-step hand-assisted laparoscopic D2 radical gastrectomy for Chinese obese patients:a highly efficient and feasible surgical approach. J Cancer, 2015, 6(2):120-127.

1. 翟志伟, 李明, 顾晋.手辅助腹腔镜外科技术在腹部外科手术中的应用.中华胃肠外科杂志, 2012, 15(8):862-863.
2. Vogel JD, Lian L, Kalady MF, et al. Hand-assisted laparoscopic right colectomy:how does it compare to conventional laparoscopy? J Am Coll Surg, 2011, 212(3):367-372.
3. 盛勤松, 刘凡隆, 陈文斌, 等.手辅助腹腔镜结直肠癌根治术111例短期疗效分析.中华胃肠外科杂志, 2011, 14(4):288-289.
4. 宋武, 韩方海, 何裕隆, 等.手辅助与腹腔镜外科治疗结直肠癌的临床疗效观察.中华医学杂志, 2011, 91(35):2485-2487.
5. 刘凡隆, 叶锋, 林建江, 等.手辅助腹腔镜全结肠切除术治疗结肠无力症的临床研究.中华外科杂志, 2007, 45(19):1305-1307.
6. 曹永宽, 刘立业, 罗国德, 等.手助腹腔镜行胃癌D2根治术的手术安全与技术路径探讨.中国普通外科杂志, 2012, 21(4):373-376.
7. Gong JQ, Cao YK, Wang YH, et al. Three-step hand-assisted laparoscopic surgery for radical distal gastrectomy:an effective surgical approach. Int J Clin Exp Med, 2014, 7(8):2156-2164.
8. Ohki J, Nagai H, Hyodo M, et al. Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method. Surg Endosc, 1999, 13(11):1148-1150.
9. Ikeda Y, Sasaki Y, Niimi M, et al. Hand-assisted laparoscopic proximal gastrectomy with jejunal interposition and lymphadenectomy. J Am Coll Surg, 2002, 195(4):578-581.
10. Usui S, Inoue H, Yoshida T, et al. Hand-assisted laparoscopic total gastrectomy for early gastic cancer. Surg Laparosc Endosc Percutan Tech, 2003, 13(5):304-307.
11. 胡建昆, 杨昆, 陈心足, 等.手辅助腹腔镜胃癌根治术2例报道.中国普外基础与临床杂志, 2011, 18(5):520-522.
12. 胡巍.手辅助腹腔镜胃癌根治术55例.临床医学, 2013, 33(4):62-63.
13. Wong SK, Tsui DK, Li MK. Laparoscopic distal gastrectomy for gastric cancer:initial experience on hand-assisted technique and totally laparoscopic technique. Surg Laparosc Endosc Percutan Tech, 2009, 19(4):298-304.
14. 曹永宽, 刘立业, 周均, 等.手辅助腹腔镜与腹腔镜辅助和开腹胃癌根治性切除术的临床比较.中华胃肠外科杂志, 2012, 15(7):740-742.
15. 刘逸, 揭志刚, 李正荣, 等.改良手辅助腹腔镜胃癌根治术手术技巧探讨.中华胃肠外科杂志, 2013, 16(10):1009-1010.
16. 曹永宽, 周均, 刘立业, 等.手辅助腹腔镜与腹腔镜辅助胃癌D2根治术的临床对照研究.中国普外基础与临床杂志, 2012, 19(11):1208-1212.
17. Gong JQ, Cao YK, Li YM, et al. Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy:a prospective study. Surg Endosc, 2014, 28(10):2998-3006.
18. Gong JQ, Cao YK, Wang YH, et al. Learning curve for hand-assisted laparoscopic D2 radical gastrectomy. World J Gastroenterol, 2015, 21(5):1606-1613.
19. Zhang GT, Zhang XD. A hand-assisted laparoscopic distal gastrectomy can be an effective way in obese patients. Surg Laparosc Endosc Percutan Tech, 2013, 23(2):145-148.
20. Gong JQ, Cao YK, Wang YH, et al. Three-step hand-assisted laparoscopic D2 radical gastrectomy for Chinese obese patients:a highly efficient and feasible surgical approach. J Cancer, 2015, 6(2):120-127.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Comparative study of Short-Term Outcomes of D2 Radical Distal Gastrectomy for Gastric Cancer Between Hand Assisted Laparoscopic and Traditonal Open Techniques

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