Controlled Clinical Study on Laparoscopic Assisted and Open D2 Radical Resection for Advanced Gastric Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHOUJun , WANGPei-hong ,  CAOYong-kuan , WANGYong-hua , ZHANGGuo-hu

Center of General Surgery of PLA, Chengdu Army General Hospital, Chengdu 610083, Sichuan Province, China;

Corresponding?author：

CAOYong-kuan, Email: caoyok@163.com

Keywords：

Gastric cancer; Laparoscope; D2 radical resection; Comparative study

DOI：

10.7507/1007-9424.20140010

Video：

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Objective To evaluate the curative effect of laparoscopic assisted and open D2 radical resection in treatment of advanced gastric cancer. Methods The clinical data of 76 cases performed by laparoscopic assisted D2 radical resection (laparoscopic group) and 104 cases performed by open operation (open group) from October 2010 to October 2012 in our center were retrospective analized.Operation related index, postoperative recovery, and extent of radical resection of tumor of 2 groups were compared. Results The operative time of the laparoscopic group[(192.5±14.8) min]was longer than that open group[(171.5±16.5) min, P < 0.05].But the blood loss, postoperative drainage, length of incision, and hospital stay of the laparoscopic group were significantly less or shorter than those of open group (P < 0.05).There were no significant difference in postoperative complications and extent of radical resection of tumor between the 2 groups (P > 0.05).There were no residual tumor in distal margin and operatiive death case in both 2 groups. Conclusion Comparing with open operation, the laparoscopic assisted surgery for advanced gastric cancer could achieve the same clinical outcomes, and obvious advantage of minimal invasion.

Citation： ZHOUJun, WANGPei-hong, CAOYong-kuan, WANGYong-hua, ZHANGGuo-hu. Controlled Clinical Study on Laparoscopic Assisted and Open D2 Radical Resection for Advanced Gastric Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 50-54. doi: 10.7507/1007-9424.20140010 Copy

1.	胡祥.日本《胃癌治療指南》(第3版)解讀[J].中國實用外科雜志, 2010, 31(1):25-30.
2.	王自強, 余佩武, 吳淼, 等.腹腔鏡輔助下遠端胃癌根治術44例臨床報告[J].中國微創外科雜志, 2005, 5(7):519-521.
3.	中華醫學會外科分會腹腔鏡與內鏡外科學組.腹腔鏡胃癌手術操作指南(2007年版)[J].中華消化外科雜志, 2007, 6(6):476-480.
4.	黃志強主編.腹部外科手術學[M].海口:海南科學技術出版社, 2004:333-348.
5.	Kitano S, Iso Y, Moriyama M, et al.Laparoscopy-assisted Billroth I gastrectomy[J].Surg Laparosc Endosc, 1994, 4(2):146-148.
6.	余佩武.腹腔鏡胃癌根治術的應用現狀與展望[J].第三軍醫大學學報, 2008, 30(19):1775-1778.
7.	余佩武.腹腔鏡胃癌根治術的原則與評價[J].中國普外基礎與臨床雜志, 2009, 16(1):1-5.
8.	鄭民華, 臧潞.腹腔鏡外科治療早期胃癌的現狀[J].內科理論與實踐, 2010, 5(3):203-206.
9.	王德臣, 袁炯, 傅衛, 等.腹腔鏡胃癌根治術3年隨訪報告[J].中國普通外科雜志, 2010, 19(10):1053-2056.
10.	余佩武, 唐波.腹腔鏡胃癌根治術技術難點與對策[J].中國實用外科雜志, 2010, 30(3):178-180.
11.	唐波, 余佩武.腹腔鏡胃癌D2手術淋巴結清掃原則與技巧[J].中國普外基礎與臨床雜志, 2011, 18(2):114-115.
12.	陳志美, 卓宏, 曾俊.100例腹腔鏡輔助下胃癌根治手術配合體會[J].局解手術學雜志, 2007, 16(2):144-145.
13.	錢峻, 湯黎明, 朱杰, 等.腹腔鏡胃癌根治手術中的團隊配合[J].中國微創外科雜志, 2009, 9(9):781-783.
14.	周均, 曹永寬.保留副肝動脈的腹腔鏡胃癌D2根治術1例報道[J].中國普外基礎與臨床雜志, 2010, 17(10):1076.
15.	羅國德, 曹永寬, 張林, 等.腹腔鏡與開腹手術對進展期胃癌D2根治術的臨床對比分析[J].華西醫學, 2011, 26(9):1323-1326.
16.	Lee WJ, Wang W, Chen TC, et al.Totally laparoscopic radical B Ⅱ gastrectomy for the treatment of gastric cancer:acomparison with open surgery[J].Surg Laparosc Endosc Percutan Tech, 2008, 18(4):369-374.
17.	鄭永斌, 童仕倫, 譚海燕, 等.超聲刀在腹腔鏡胃癌根治手術中的應用[J].中國普外基礎與臨床雜志, 2009, 16(10):781-784.
18.	王冬芽, 揭志剛, 李正榮.胃癌根治術加植入緩釋氟尿嘧啶治療Ⅲ期胃癌[J].中國普通外科雜志, 2010, 19(10):1057-1060.
19.	Kitano S, Shiraishi N, Uyama I, et al.A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan[J].Ann Surg, 2007, 245(1):68-72.
20.	Lee JH, Yom CK, Han HS.Comparison of long term out comes of laparoscopy assisted and open distal gastrectomy for early gastric cancer[J].Surg Endosc, 2009, 23(8):1759-1763.
21.	所劍, 王大廣, 張洋, 等.腹腔鏡胃癌D2根治術的評價[J].第三軍醫大學學報, 2013, 35(18):1893-1895.
22.	孫少川, 周鑫, 鄭春寧, 等.腹腔鏡輔助胃癌根治術的可行性探討[J].腹腔鏡外科雜志, 2012, 17(5):342-344.
23.	Song J, Lee HJ, Cho GS, et al.Recurrence following laparoscopy assisted gastrectomy for gastric cancer:a multicenter retrospective analysis of 1417 patients[J].Ann Surg Oncol, 2010, 17(7):1777-1786.
24.	王舉, 姜洪偉, 王永強, 等.腹腔鏡下進展期胃癌全胃切除術11例回顧分析[J].中華普外手術學雜志:電子版, 2013, 7(3):216-218.
25.	徐華, 胡偉國.腹腔鏡胃癌根治術在進展期胃癌的應用現狀[J].外科理論與實踐, 2012, 17(6):689-692.
26.	余佩武, 羅華星.腹腔鏡胃癌根治術的現狀與前景[J].中國普外基礎與臨床雜志, 2007, 15(5):506-509.

1. 胡祥.日本《胃癌治療指南》(第3版)解讀[J].中國實用外科雜志, 2010, 31(1):25-30.
2. 王自強, 余佩武, 吳淼, 等.腹腔鏡輔助下遠端胃癌根治術44例臨床報告[J].中國微創外科雜志, 2005, 5(7):519-521.
3. 中華醫學會外科分會腹腔鏡與內鏡外科學組.腹腔鏡胃癌手術操作指南(2007年版)[J].中華消化外科雜志, 2007, 6(6):476-480.
4. 黃志強主編.腹部外科手術學[M].海口:海南科學技術出版社, 2004:333-348.
5. Kitano S, Iso Y, Moriyama M, et al.Laparoscopy-assisted Billroth I gastrectomy[J].Surg Laparosc Endosc, 1994, 4(2):146-148.
6. 余佩武.腹腔鏡胃癌根治術的應用現狀與展望[J].第三軍醫大學學報, 2008, 30(19):1775-1778.
7. 余佩武.腹腔鏡胃癌根治術的原則與評價[J].中國普外基礎與臨床雜志, 2009, 16(1):1-5.
8. 鄭民華, 臧潞.腹腔鏡外科治療早期胃癌的現狀[J].內科理論與實踐, 2010, 5(3):203-206.
9. 王德臣, 袁炯, 傅衛, 等.腹腔鏡胃癌根治術3年隨訪報告[J].中國普通外科雜志, 2010, 19(10):1053-2056.
10. 余佩武, 唐波.腹腔鏡胃癌根治術技術難點與對策[J].中國實用外科雜志, 2010, 30(3):178-180.
11. 唐波, 余佩武.腹腔鏡胃癌D2手術淋巴結清掃原則與技巧[J].中國普外基礎與臨床雜志, 2011, 18(2):114-115.
12. 陳志美, 卓宏, 曾俊.100例腹腔鏡輔助下胃癌根治手術配合體會[J].局解手術學雜志, 2007, 16(2):144-145.
13. 錢峻, 湯黎明, 朱杰, 等.腹腔鏡胃癌根治手術中的團隊配合[J].中國微創外科雜志, 2009, 9(9):781-783.
14. 周均, 曹永寬.保留副肝動脈的腹腔鏡胃癌D2根治術1例報道[J].中國普外基礎與臨床雜志, 2010, 17(10):1076.
15. 羅國德, 曹永寬, 張林, 等.腹腔鏡與開腹手術對進展期胃癌D2根治術的臨床對比分析[J].華西醫學, 2011, 26(9):1323-1326.
16. Lee WJ, Wang W, Chen TC, et al.Totally laparoscopic radical B Ⅱ gastrectomy for the treatment of gastric cancer:acomparison with open surgery[J].Surg Laparosc Endosc Percutan Tech, 2008, 18(4):369-374.
17. 鄭永斌, 童仕倫, 譚海燕, 等.超聲刀在腹腔鏡胃癌根治手術中的應用[J].中國普外基礎與臨床雜志, 2009, 16(10):781-784.
18. 王冬芽, 揭志剛, 李正榮.胃癌根治術加植入緩釋氟尿嘧啶治療Ⅲ期胃癌[J].中國普通外科雜志, 2010, 19(10):1057-1060.
19. Kitano S, Shiraishi N, Uyama I, et al.A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan[J].Ann Surg, 2007, 245(1):68-72.
20. Lee JH, Yom CK, Han HS.Comparison of long term out comes of laparoscopy assisted and open distal gastrectomy for early gastric cancer[J].Surg Endosc, 2009, 23(8):1759-1763.
21. 所劍, 王大廣, 張洋, 等.腹腔鏡胃癌D2根治術的評價[J].第三軍醫大學學報, 2013, 35(18):1893-1895.
22. 孫少川, 周鑫, 鄭春寧, 等.腹腔鏡輔助胃癌根治術的可行性探討[J].腹腔鏡外科雜志, 2012, 17(5):342-344.
23. Song J, Lee HJ, Cho GS, et al.Recurrence following laparoscopy assisted gastrectomy for gastric cancer:a multicenter retrospective analysis of 1417 patients[J].Ann Surg Oncol, 2010, 17(7):1777-1786.
24. 王舉, 姜洪偉, 王永強, 等.腹腔鏡下進展期胃癌全胃切除術11例回顧分析[J].中華普外手術學雜志:電子版, 2013, 7(3):216-218.
25. 徐華, 胡偉國.腹腔鏡胃癌根治術在進展期胃癌的應用現狀[J].外科理論與實踐, 2012, 17(6):689-692.
26. 余佩武, 羅華星.腹腔鏡胃癌根治術的現狀與前景[J].中國普外基礎與臨床雜志, 2007, 15(5):506-509.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Controlled Clinical Study on Laparoscopic Assisted and Open D2 Radical Resection for Advanced Gastric Cancer

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