A Study on the Skills of Laparoscopic Resection of Bursa Omentalis and Lymph Node Scavenging with Radical Gastrectomy

Liaonan Zou, MD, Yaobin He, MD, Hongming Li, MD, Dechang Diao, PhD, Delong Mo, MD, Wei Wang, MD, Jin Wan, MD. GI department GuangDong TCM Hospital

Objective: To inquire into the feasibility, operation skills and short-term effect of laparoscopic resection of bursa omentalis and lymph node scavenging with radical gastrectomy.

Method: Using the clinical data of 18 patients who received laparoscopic resection of bursa omentalis with radical gastrectomy in the Gastrointestinal Surgery of our hospital during the period from Jan., 2012 to Jan., 2014, we make retrospective analysis and analyze their operation time, bursa omentalis resection time, amount of bleeding during operation, postoperative complications related to operation, length of stay, the number of lymph node scavenging and short-term follow-up results.

Result: All these 18 patients successfully received resection of bursa omentalis and no one received conversion to open surgery, with the operation time being(289.3±30.3)min, the bursa omentalis resection time being(46.1±18.6)min, the amount of bleeding being (35.5±6.5)ml, no case suffering from postoperative complications (Pancreatic fistula, anastomotic fistula, intestinal obstruction ) or being dead, and no case being dead in a follow-up time of half a year.

Conclusion: For advanced gastric carcinoma, laparoscopic resection of bursa omentalis and lymph node scavenging with radical gastrectomy is feasible. In addition to meeting the requirement that the operator should be skilled and experienced in open bursa omentalis resection and have well-knit basic skills in using laparoscope, attention also must be paid to the operation team construction

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