The Outcomes Of Laparoscopic Distal Gastrectomy With D2 Lymphadenectomy For Gastric Cancer In Hanoi Medical University Hospital

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Le Huy Trinh , Quoc Ai Dang , Sang-Uk Han

Abstract

Purpose: To evaluate the outcomes of laparoscopic distal gastrectomy for gastric cancer in Hanoi Medical University Hospital.
Methods: Retrospective, descriptive study on 62 patients with gastric cancer treated in Hanoi Medical University Hospital from January 2015 to December 2017. The mean age was 57.02 ± 9.1 years with a male to female ratio of 5/3. The position of lesion was 100% in antrum. The disease stages which were observed in gastric cancer patients were mostly pT3 with proportion of 82.3%.
Results: The average operating time was 259 ± 44 minutes and the intraoperative blood loss was calculated as 110.0 ± 23.0 ml. The time to first flatus and postoperative hospital stay were found to be 3.6 ± 1.3 and 11.8 ± 2.6 days. Postoperative complications occurring in the study include intra-abdominal bleeding, anastomosis bleeding, early intestinal obstruction and pneumonia with the same rate of 1.6%. The disease-free survival rate at 3 years was 83.8% while the overall survival rate at 3 years was 81.5% and the overall survival was estimated 33.6 ± 20.6 months.
Conclusion: Laparoscopic distal gastrectomy of gastric carcinoma shows good outcomes with low complication rate and enhanced postoperative recovery. A prospective randomized control on a larger scale is needed to establish the value of laparoscopic gastrectomy.

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