Early results of a modified splenic hilar lymphadenectomy in laparoscopy-assisted total gastrectomy for gastric cancer with stage cT1-2: a case-control study
| Autor: | Zhifen Chen, Guoxian Guan, Weizhong Jiang, Hui-shan Lu, Xiang-fu Zhang, Xing Liu |
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| Rok vydání: | 2012 |
| Předmět: |
Laparoscopic surgery
Adult Male medicine.medical_specialty medicine.medical_treatment Operative Time Gastrectomy Stomach Neoplasms Internal medicine Medicine Humans Stage (cooking) Laparoscopy Aged Aged 80 and over medicine.diagnostic_test business.industry Cancer Hepatology Length of Stay Middle Aged medicine.disease Surgery Case-Control Studies Lymphatic Metastasis Feasibility Studies Lymph Node Excision Lymphadenectomy Female business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 27(6) |
| ISSN: | 1432-2218 |
| Popis: | The aim of this study was to explore the feasibility and early outcomes of laparoscopy-assisted total gastrectomy with a modified splenic hilar lymphadenectomy for upper- and middle-third stage cT1-2 gastric cancer. A total of 97 patients diagnosed with upper- and middle-third stage cT1-T2 gastric cancer were enrolled. Patients were assigned to the laparoscopy-assisted total gastrectomy group (LATG, n = 41) or the open total gastrectomy group (OTG, n = 56). All patients underwent total gastrectomy with modified splenic hilar lymphadenectomy. The operative and postoperative measures, number of retrieved lymph nodes (LNs), and complications were compared between the two groups. The mean number of dissected LNs was not significantly different between the two groups: 23.1 ± 8.0 in the LATG group versus 24.2 ± 7.5 in the OTG group. Compared with the OTG group, the LATG group had less operative blood loss [104.2 ± 42.9 vs. 355.6 ± 51.3 ml (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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