Totally Laparoscopic Distal Gastrectomy with D2 Lymphadenectomy and Billroth II Gastrojejunostomy for Gastric Cancer: Short- and Medium-term Results of 139 Consecutive Cases from a Single Institution

被引:35
作者
Chen, Ke [1 ]
Xu, Xiaowu [1 ]
Mou, Yiping [1 ]
Pan, Yu [1 ]
Zhang, Renchao [1 ]
Zhou, Yucheng [1 ]
Wu, Di [1 ]
Huang, Chaojie [1 ]
机构
[1] Zhejiang Univ, Sir Run Run Shaw Hosp, Inst Microinvas Surg, Dept Gen Surg,Sch Med, Hangzhou 310016, Zhejiang, Peoples R China
关键词
laparoscopy; gastric cancer; clinical study; survival; ASSISTED GASTRECTOMY; SURGICAL OUTCOMES; MULTICENTER; METAANALYSIS; ANASTOMOSIS; IMPACT;
D O I
10.7150/ijms.6632
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: The goal of this study was to investigate the feasibility, safety, and associated 3-year survival outcomes of the totally laparoscopic distal gastrectomy (TLDG) for the treatment of gastric cancer. Methods: Herein, we analyzed the clinical data from 139 consecutive patients with gastric cancer who received TLDG at our institution from March of 2007 to March of 2013. Results: TLDG was successfully carried out in 139 patients; no cases were converted to open surgery. The mean operation time was 228.6 +/- 51.0 minutes, mean blood loss was 131.2 +/- 85.2 mL, and mean number of dissected lymph nodes was 31.1 +/- 9.0. The average time to flatus, time to fluid diet, and length of hospital stay were 3.6 +/- 1.1 days, 4.8 +/- 1.6 days, and 9.8 +/- 4.0 days, respectively. The postoperative morbidity was 10.1%. A total of 135 patients were followed for a subsequent 1-73 months (median, 24.0 months). The 3-year disease-free survival (DFS) and overall survival (OS) rates were 82.3% and 82.9%, respectively. When divided by stage, the 3-year DFS for stage I, II, and III were 100%, 86.2%, and 48.8%, respectively; and the 3-year OS for stage I, II, and III were 98.0%, 92.3%, and 51.6%, respectively. Conclusions: In this preliminary report, TLDG was found to be a safe, feasible, and efficacious procedure for the treatment of gastric cancer with encouraging 3-year overall and stage-by-stage survival rates.
引用
收藏
页码:1462 / 1470
页数:9
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