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《胃癌治疗指南》(第3版)解读[J].中国实用外科杂志, 2010, 31(1):25-30.
2.	王自强, 余佩武, 吴淼, 等.腹腔镜辅助下远端胃癌根治术44例临床报告[J].中国微创外科杂志, 2005, 5(7):519-521.
3.	中华医学会外科分会腹腔镜与内镜外科学组.腹腔镜胃癌手术操作指南(2007年版)[J].中华消化外科杂志, 2007, 6(6):476-480.
4.	黄志强主编.腹部外科手术学[M].海口:海南科学技术出版社, 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.腹腔镜胃癌根治术的应用现状与展望[J].第三军医大学学报, 2008, 30(19):1775-1778.
7.	余佩武.腹腔镜胃癌根治术的原则与评价[J].中国普外基础与临床杂志, 2009, 16(1):1-5.
8.	郑民华, 臧潞.腹腔镜外科治疗早期胃癌的现状[J].内科理论与实践, 2010, 5(3):203-206.
9.	王德臣, 袁炯, 傅卫, 等.腹腔镜胃癌根治术3年随访报告[J].中国普通外科杂志, 2010, 19(10):1053-2056.
10.	余佩武, 唐波.腹腔镜胃癌根治术技术难点与对策[J].中国实用外科杂志, 2010, 30(3):178-180.
11.	唐波, 余佩武.腹腔镜胃癌D2手术淋巴结清扫原则与技巧[J].中国普外基础与临床杂志, 2011, 18(2):114-115.
12.	陈志美, 卓宏, 曾俊.100例腹腔镜辅助下胃癌根治手术配合体会[J].局解手术学杂志, 2007, 16(2):144-145.
13.	钱峻, 汤黎明, 朱杰, 等.腹腔镜胃癌根治手术中的团队配合[J].中国微创外科杂志, 2009, 9(9):781-783.
14.	周均, 曹永宽.保留副肝动脉的腹腔镜胃癌D2根治术1例报道[J].中国普外基础与临床杂志, 2010, 17(10):1076.
15.	罗国德, 曹永宽, 张林, 等.腹腔镜与开腹手术对进展期胃癌D2根治术的临床对比分析[J].华西医学, 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.	郑永斌, 童仕伦, 谭海燕, 等.超声刀在腹腔镜胃癌根治手术中的应用[J].中国普外基础与临床杂志, 2009, 16(10):781-784.
18.	王冬芽, 揭志刚, 李正荣.胃癌根治术加植入缓释氟尿嘧啶治疗Ⅲ期胃癌[J].中国普通外科杂志, 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.	所剑, 王大广, 张洋, 等.腹腔镜胃癌D2根治术的评价[J].第三军医大学学报, 2013, 35(18):1893-1895.
22.	孙少川, 周鑫, 郑春宁, 等.腹腔镜辅助胃癌根治术的可行性探讨[J].腹腔镜外科杂志, 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.	王举, 姜洪伟, 王永强, 等.腹腔镜下进展期胃癌全胃切除术11例回顾分析[J].中华普外手术学杂志:电子版, 2013, 7(3):216-218.
25.	徐华, 胡伟国.腹腔镜胃癌根治术在进展期胃癌的应用现状[J].外科理论与实践, 2012, 17(6):689-692.
26.	余佩武, 罗华星.腹腔镜胃癌根治术的现状与前景[J].中国普外基础与临床杂志, 2007, 15(5):506-509.

1. 胡祥.日本《胃癌治疗指南》(第3版)解读[J].中国实用外科杂志, 2010, 31(1):25-30.
2. 王自强, 余佩武, 吴淼, 等.腹腔镜辅助下远端胃癌根治术44例临床报告[J].中国微创外科杂志, 2005, 5(7):519-521.
3. 中华医学会外科分会腹腔镜与内镜外科学组.腹腔镜胃癌手术操作指南(2007年版)[J].中华消化外科杂志, 2007, 6(6):476-480.
4. 黄志强主编.腹部外科手术学[M].海口:海南科学技术出版社, 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.腹腔镜胃癌根治术的应用现状与展望[J].第三军医大学学报, 2008, 30(19):1775-1778.
7. 余佩武.腹腔镜胃癌根治术的原则与评价[J].中国普外基础与临床杂志, 2009, 16(1):1-5.
8. 郑民华, 臧潞.腹腔镜外科治疗早期胃癌的现状[J].内科理论与实践, 2010, 5(3):203-206.
9. 王德臣, 袁炯, 傅卫, 等.腹腔镜胃癌根治术3年随访报告[J].中国普通外科杂志, 2010, 19(10):1053-2056.
10. 余佩武, 唐波.腹腔镜胃癌根治术技术难点与对策[J].中国实用外科杂志, 2010, 30(3):178-180.
11. 唐波, 余佩武.腹腔镜胃癌D2手术淋巴结清扫原则与技巧[J].中国普外基础与临床杂志, 2011, 18(2):114-115.
12. 陈志美, 卓宏, 曾俊.100例腹腔镜辅助下胃癌根治手术配合体会[J].局解手术学杂志, 2007, 16(2):144-145.
13. 钱峻, 汤黎明, 朱杰, 等.腹腔镜胃癌根治手术中的团队配合[J].中国微创外科杂志, 2009, 9(9):781-783.
14. 周均, 曹永宽.保留副肝动脉的腹腔镜胃癌D2根治术1例报道[J].中国普外基础与临床杂志, 2010, 17(10):1076.
15. 罗国德, 曹永宽, 张林, 等.腹腔镜与开腹手术对进展期胃癌D2根治术的临床对比分析[J].华西医学, 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. 郑永斌, 童仕伦, 谭海燕, 等.超声刀在腹腔镜胃癌根治手术中的应用[J].中国普外基础与临床杂志, 2009, 16(10):781-784.
18. 王冬芽, 揭志刚, 李正荣.胃癌根治术加植入缓释氟尿嘧啶治疗Ⅲ期胃癌[J].中国普通外科杂志, 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. 所剑, 王大广, 张洋, 等.腹腔镜胃癌D2根治术的评价[J].第三军医大学学报, 2013, 35(18):1893-1895.
22. 孙少川, 周鑫, 郑春宁, 等.腹腔镜辅助胃癌根治术的可行性探讨[J].腹腔镜外科杂志, 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. 王举, 姜洪伟, 王永强, 等.腹腔镜下进展期胃癌全胃切除术11例回顾分析[J].中华普外手术学杂志:电子版, 2013, 7(3):216-218.
25. 徐华, 胡伟国.腹腔镜胃癌根治术在进展期胃癌的应用现状[J].外科理论与实践, 2012, 17(6):689-692.
26. 余佩武, 罗华星.腹腔镜胃癌根治术的现状与前景[J].中国普外基础与临床杂志, 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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