Videolaparoscopic total and subtotal gastrectomy with extended lymph node dissection for gastric cancer

Laparoscopic surgery has been used in the treatment of early gastric cancer with low mortality and morbidity and improvement in patient’s quality of life. The purpose of the current study was to determine if these advantages persist after radical laparoscopic treatment of more advanced gastric cance...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2004-12, Vol.188 (6), p.728-735
Main Authors: Huscher, Cristiano G., Mingoli, Andrea, Sgarzini, Giovanna, Sansonetti, Andrea, Lirici, Marco M., Napolitano, Carmine, Piro, Francesca
Format: Article
Language:English
Subjects:
Adenocarcinoma - mortality
Adenocarcinoma - secondary
Adenocarcinoma - surgery
Adult
Aged
Aged, 80 and over
Cohort Studies
Disease-Free Survival
Dissection
Female
Gastrectomy - methods
Gastric cancer
Gastroscopy - adverse effects
Gastroscopy - methods
Hospitals
Humans
Laparoscopic surgery
Lymph node dissection
Lymph Node Excision - methods
Lymphatic Metastasis
Lymphatic system
Male
Middle Aged
Minimally Invasive Surgical Procedures - methods
Morbidity
Mortality
Neoplasm Invasiveness - pathology
Neoplasm Staging
Postoperative Complications - physiopathology
Probability
Prognosis
Retrospective Studies
Risk Assessment
Sensitivity and Specificity
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Subtotal gastrectomy
Survival Analysis
Total gastrectomy
Treatment Outcome
Ultrasonic imaging
Veins & arteries
Video-Assisted Surgery - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Laparoscopic surgery has been used in the treatment of early gastric cancer with low mortality and morbidity and improvement in patient’s quality of life. The purpose of the current study was to determine if these advantages persist after radical laparoscopic treatment of more advanced gastric cancer. A retrospective review of 44 patients after laparoscopic surgery for gastric cancer was performed. Tumor stage was IA in 8 patients, IB in 12, II in 9, IIIA in 6, IIIB in 1, and IV in 8. Eight total and 36 subtotal R0 gastrectomies were performed (12 D 1 and 32 D 2). The mean number of dissected lymph nodes was 38.1 ± 21.5. Conversion rate was 7%. Operative mortality and morbidity were 7% and 12%, respectively. Three-year survival was 75%. Laparoscopic radical total or subtotal gastrectomy with extended lymphadenectomy for gastric cancer is a feasible, safe, and oncologically effective procedure.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2004.08.040