Guiding values of multislice spiral computed tomography angiography in laparoscopic D2 radical gastrectomy of local advanced gastric carcinoma
| Autor: | Jianbo Gao, Diansen Chen, Wang Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Computed Tomography Angiography Operative Time laparoscopy X-ray computer radical resection Gastric carcinoma tomography lcsh:RC254-282 03 medical and health sciences Postoperative Complications 0302 clinical medicine Gastrectomy Stomach Neoplasms Humans Medicine Radiology Nuclear Medicine and imaging Multislice Laparoscopy Lymph node Aged Neoplasm Staging medicine.diagnostic_test business.industry General Medicine Length of Stay Middle Aged lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Spiral computed tomography Confidence interval Dissection Treatment Outcome medicine.anatomical_structure Surgery Computer-Assisted Oncology 030220 oncology & carcinogenesis Angiography Lymph Node Excision Female 030211 gastroenterology & hepatology Lymph Nodes business Nuclear medicine Tomography Spiral Computed |
| Zdroj: | Journal of Cancer Research and Therapeutics, Vol 14, Iss 8, Pp 197-201 (2018) |
| ISSN: | 1998-4138 0973-1482 |
| Popis: | Objective: This study aims to investigate the application values of preoperative multislice spiral computed tomography angiography (MSCTA) in laparoscopic radical resection of gastric carcinoma (GC). Materials and Methods: A total of 108 GC patients were divided into Groups I (i.e., where preoperative MSCTA was performed; n = 60) and II (i.e., where preoperative MSCTA was not performed; n = 48). Surgery was performed by the same group of surgeons. Results: Seven cases of blood vascular variation were detected in Group I during surgery, whereas four cases were detected in Group II. The operation time for Group I ([207 ± 24] min) was shorter than that for Group II ([260 ± 31] min) (95% confidence interval [95% CI]: −21.543–−0.920, P = 0.044). The operation time of patients with gastric vascular anatomic variation in Group I ([189 ± 49] min) was shorter than that of patients in Group II ([257 ± 61] min) (95% CI: −99.68–−3.201, P = 0.048). The differences in the number of lymph node dissection, average blood loss, eating time, complication rate, and postoperative hospital stay between the two groups was not statistically significant (P > 0.05). Conclusions: MSCTA before endoscopic radical resection exhibits guiding values in assessing blood vascular variations and shortening operation times. |
| Databáze: | OpenAIRE |
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