Laparoscopic-Assisted Radical Gastrectomy in Distant Gastric Cancer (Report of 18 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Wei , PANG Minghui , LUO Bin , LI Ping , YANG Chun

Department of Gastroenterology Surgery， People’s Hospital of Sichuan Province, Chengdu 610072, ChinaCorresponding Author: PANG Ming-hui, E-mail: pangmh2000@163.com;

Corresponding author：

Keywords：

Laparoscopic surgery; Radical gastrectomy; Advanced gastric cancer; Complication

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To investigate the feasibility and safety of laparoscopic-assisted gastrectomy for distant gastric cancer.
Methods 　All 18 patients with distant gastric cancer receiving laparoscopic-assisted gastrectomy were analyzed.
Results 　Laparoscopic-assisted distal gastrectomy was performed successfully in all patients. The mean operation time was (291.33±19.61) min. The mean blood loss was (151.32±71.78) ml. The mean numbers of harvested lymph node were 14.57±3.11. The mean time of gastrointestinal function recovery was (3.46±0.93) d, the mean out of bed activity time was (1.75±0.45) d. All patients were followed up for 1-24 months, mean 11 months. No local recurrence, trocar implant or distant metastasis happened.
Conclusion 　Laparoscopic-assisted gastrectomy is a feasible and safe surgical procedure combined with minimal trauma and fast recovery.

Citation： ZHANG Wei,PANG Minghui,LUO Bin,LI Ping,YANG Chun. Laparoscopic-Assisted Radical Gastrectomy in Distant Gastric Cancer (Report of 18 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(10): 784-788. doi: Copy

1.	余佩武, 王自强, 钱锋, 等. 腹腔镜辅助胃癌根治术105例 [Ｊ]. 中华外科杂志, 2006; 44(19): 1303-1306.
2.	中华医学会外科学分会腹腔镜与内镜外科学组. 腹腔镜胃癌手术操作指南(2007版) [Ｊ].中华消化外科杂志, 2007; 6(6): 476-480.
3.	吴孟超, 吴在德主编. 黄家驷外科学 [M]. 中册. 第7版. 北京：人民卫生出版社, 2008: 1450.
4.	刘文韬. 2002 年版日本胃癌治疗规范 [Ｊ]. 中华胃肠外科杂志, 2003; 6(2): 131-132.
5.	余佩武, 罗华星. 腹腔镜胃癌根治术的现状与前景 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(5): 506-509.
6.	Joo YT, Moon HG, Lee SH, et al. Laparoscopy-assisted distal gastrectomy with intracorporeal Billroth Ⅰ stapled anastomosis using a hand access device for patients with gastric cancer [Ｊ]. Surg Endosc, 2007; 21(6): 859-862.
7.	Kawamura H, Okada K, Isizu H, et al. Laparoscopic gastrectomy for early gastric cancer targeting as a less invasive procedure [Ｊ]. Surg Endosc, 2008; 22(1): 81-85.
8.	余佩武, 罗华星. 腹腔镜胃癌根治术的研究进展 [Ｊ]. 中华胃肠外科杂志, 2009; 12(2): 208-210.
9.	余佩武. 腹腔镜胃癌根治术的原则与评价 [Ｊ]. 中国普外基础与临床杂志, 2009; 16(1): 1-5.
10.	Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases [Ｊ]. Surg Endosc, 2008; 22(5): 1161-1164.
11.	Kojima K, Yamada H, Inokuchi M, et al. Current status and evaluation of laparoscopic surgery for gastric cancer [Ｊ]. Nippon Geka Gakkai Zasshi, 2006; 107(2): 77-80.
12.	杜建军, 王为忠, 李纪鹏, 等. 腹腔镜辅助根治性全胃切除术治疗进展期胃癌 [Ｊ]. 中华外科杂志, 2008; 46 (1): 21-23.
13.	丁卫星, 龚建平, 杨平, 等. 腹腔镜辅助胃癌切除术71例临床报告 [Ｊ]. 中国微创外科杂志, 2008; 8(8): 716-718.
14.	汤黎明, 钱峻, 朱杰, 等. 腹腔镜胃癌D2根治术在进展期胃癌中的应用探讨 [Ｊ]. 中国微创外科杂志, 2008; 8(12): 1079-1081.
15.	丸山圭一著, 陈雨信译. 日本胃癌外科治疗的进展 [Ｊ]. 中华消化外科杂志, 2008; 7(3): 170.
16.	陈峻青, 夏志平主编. 胃肠癌手术学 [M]. 第2版. 北京: 人民卫生出版社, 2008: 134.
17.	郑成竹, 胡兵. 腹腔镜胃癌根治术淋巴结清扫的若干问题 [Ｊ]. 中国实用外科杂志, 2005; 25(10): 592-593.
18.	张策, 余江, 王亚楠, 等. 胰腺和胰周间隙的活体解剖特点及其对腹腔镜远端胃癌D2切除术的启示 [Ｊ]. 中华胃肠外科杂志, 2009; 12(2): 117-120.
19.	吴涛, 李国新, 丁自海, 等. 腹腔镜下远端胃癌根治术中胃背系膜及系膜间隙的解剖形态特点 [Ｊ]. 中国临床解剖学杂志, 2007; 25(3): 251-254.
20.	韩方海, 詹文华, 何裕隆, 等. 胃癌根治术血管鞘内、外淋巴结清扫临床结果比较分析 [Ｊ]. 中华外科杂志, 2009; 47(9): 673-767.
21.	韩方海, 詹文华, 何裕隆, 等. 胃癌根治手术网膜囊及筋膜切除问题 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(2): 230-234.
22.	王舒宝, 夏志平主编. 胃癌手术与手技 [M]. 沈阳: 辽宁科学技术出版社, 2008: 148.
23.	钱锋, 孙刚, 唐波, 等. 腹腔镜胃癌根治手术的学习曲线 [Ｊ]. 中国微创外科杂志, 2008; 8(6): 213-215.
24.	Ryu KW, Kim YW, Lee JH, et al. Surgical complications and the risk factors of laparoscopy-assisted distal gastrectomy in early gastric cancer [Ｊ]. Ann Surg Oncol, 2008; 15(6): 1625-1631.
25.	Topal B, Leys E, Ectors N, et al. Determinants of complications and adequacy of surgical resection in laparoscopic versus open total gastrectomy for adenocarcinoma [Ｊ]. Surg Endosc, 2008; 22(4): 980-984.

1. 余佩武, 王自强, 钱锋, 等. 腹腔镜辅助胃癌根治术105例 [Ｊ]. 中华外科杂志, 2006; 44(19): 1303-1306.
2. 中华医学会外科学分会腹腔镜与内镜外科学组. 腹腔镜胃癌手术操作指南(2007版) [Ｊ].中华消化外科杂志, 2007; 6(6): 476-480.
3. 吴孟超, 吴在德主编. 黄家驷外科学 [M]. 中册. 第7版. 北京：人民卫生出版社, 2008: 1450.
4. 刘文韬. 2002 年版日本胃癌治疗规范 [Ｊ]. 中华胃肠外科杂志, 2003; 6(2): 131-132.
5. 余佩武, 罗华星. 腹腔镜胃癌根治术的现状与前景 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(5): 506-509.
6. Joo YT, Moon HG, Lee SH, et al. Laparoscopy-assisted distal gastrectomy with intracorporeal Billroth Ⅰ stapled anastomosis using a hand access device for patients with gastric cancer [Ｊ]. Surg Endosc, 2007; 21(6): 859-862.
7. Kawamura H, Okada K, Isizu H, et al. Laparoscopic gastrectomy for early gastric cancer targeting as a less invasive procedure [Ｊ]. Surg Endosc, 2008; 22(1): 81-85.
8. 余佩武, 罗华星. 腹腔镜胃癌根治术的研究进展 [Ｊ]. 中华胃肠外科杂志, 2009; 12(2): 208-210.
9. 余佩武. 腹腔镜胃癌根治术的原则与评价 [Ｊ]. 中国普外基础与临床杂志, 2009; 16(1): 1-5.
10. Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases [Ｊ]. Surg Endosc, 2008; 22(5): 1161-1164.
11. Kojima K, Yamada H, Inokuchi M, et al. Current status and evaluation of laparoscopic surgery for gastric cancer [Ｊ]. Nippon Geka Gakkai Zasshi, 2006; 107(2): 77-80.
12. 杜建军, 王为忠, 李纪鹏, 等. 腹腔镜辅助根治性全胃切除术治疗进展期胃癌 [Ｊ]. 中华外科杂志, 2008; 46 (1): 21-23.
13. 丁卫星, 龚建平, 杨平, 等. 腹腔镜辅助胃癌切除术71例临床报告 [Ｊ]. 中国微创外科杂志, 2008; 8(8): 716-718.
14. 汤黎明, 钱峻, 朱杰, 等. 腹腔镜胃癌D2根治术在进展期胃癌中的应用探讨 [Ｊ]. 中国微创外科杂志, 2008; 8(12): 1079-1081.
15. 丸山圭一著, 陈雨信译. 日本胃癌外科治疗的进展 [Ｊ]. 中华消化外科杂志, 2008; 7(3): 170.
16. 陈峻青, 夏志平主编. 胃肠癌手术学 [M]. 第2版. 北京: 人民卫生出版社, 2008: 134.
17. 郑成竹, 胡兵. 腹腔镜胃癌根治术淋巴结清扫的若干问题 [Ｊ]. 中国实用外科杂志, 2005; 25(10): 592-593.
18. 张策, 余江, 王亚楠, 等. 胰腺和胰周间隙的活体解剖特点及其对腹腔镜远端胃癌D2切除术的启示 [Ｊ]. 中华胃肠外科杂志, 2009; 12(2): 117-120.
19. 吴涛, 李国新, 丁自海, 等. 腹腔镜下远端胃癌根治术中胃背系膜及系膜间隙的解剖形态特点 [Ｊ]. 中国临床解剖学杂志, 2007; 25(3): 251-254.
20. 韩方海, 詹文华, 何裕隆, 等. 胃癌根治术血管鞘内、外淋巴结清扫临床结果比较分析 [Ｊ]. 中华外科杂志, 2009; 47(9): 673-767.
21. 韩方海, 詹文华, 何裕隆, 等. 胃癌根治手术网膜囊及筋膜切除问题 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(2): 230-234.
22. 王舒宝, 夏志平主编. 胃癌手术与手技 [M]. 沈阳: 辽宁科学技术出版社, 2008: 148.
23. 钱锋, 孙刚, 唐波, 等. 腹腔镜胃癌根治手术的学习曲线 [Ｊ]. 中国微创外科杂志, 2008; 8(6): 213-215.
24. Ryu KW, Kim YW, Lee JH, et al. Surgical complications and the risk factors of laparoscopy-assisted distal gastrectomy in early gastric cancer [Ｊ]. Ann Surg Oncol, 2008; 15(6): 1625-1631.
25. Topal B, Leys E, Ectors N, et al. Determinants of complications and adequacy of surgical resection in laparoscopic versus open total gastrectomy for adenocarcinoma [Ｊ]. Surg Endosc, 2008; 22(4): 980-984.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic-Assisted Radical Gastrectomy in Distant Gastric Cancer (Report of 18 Cases)

Abstract Full text Figures/Tables Video References Cited by

Format

Content