• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Laparoscopic Gastrectomy with Lymph Node Dissection for Gastric Cancer

Bac Nguyen Hoang, PhD, Long Vo Duy, MD, Long Tran Cong Duy, MD, Thuan Nguyen Duc, MD. University Medical Center, Ho Chi Minh city, Viet Nam

Background Laparoscopic gastrectomy with lymph node dissection for gastric cancer is emerging in Viet Nam as a technique that may offer benefits for patients. But the controversy surrounding this procedures for gastric adenocarcinoma involves whether lymphadenectomy and other oncologic features of the resection are equivalent to the open technique. The purpose of this study was to evaluate technical feasibility, the safety, oncologic efficacy and the early outcomes of laparoscopic gastrectomy with lymph node dissection for gastric adenocarcinoma.

Methods This was a prospective, case-series with a total of 55 patients affected gastric adenocarcinoma between March 2007 and May 2010, at University Medical Center, Hochiminh city, Vietnam. Of this 55 patients, 50 patients underwent laparosopic distal gastrectomy and 5 patients underwent laparoscopy- assisted total gastrectomy. The extracorporeal anastomosis was performed by using the hand-sewn technique. Demographics, ASA status, pTNM stage, histological type of the tumor, tumor diameter, operative time, intraoperative blood loss, number of resected lymph nodes, postoperative complications and 1-year, 2-year, 3-year overall survival rates were studied to assess outcomes of this procedure.

Results There were 25 women and 30 men with a mean age of 55 years. In all patients, the procedures were completed laparoscopically with D2 resection, without any conversion. For total gastrectomy, a Roux-en-Y reconstruction was performed, and a Billroth II reconstruction was used in subtotal gastrectomy. Stages of the tumor were IA in 9 (16.4%) patients, IB in 5 (9.1%), II in 8 (14.5%), IIIA in 20 (36.4%), IIIB in 9 (16.4%), and IV in 4 (7.3%) patients. The mean operating time was 173 ± 21 minutes. The estimated intraoperative blood loss was 112 ± 16 ml, and no transfusion was required. The mean number of resected lymph nodes was 28.6 ± 12.4. All resected margin was negative. No patients occurred postoperative leakage. The mean hospital length of stay was 6.6 ± 0.5 days. The overall postoperative complication rates were 7.3% (4 patients), including wound infections (n = 3 patients) and intra-abdominal abscesses (n = 1 patient), but no reoperation was required . The histological types were well differentiated in 27 cases (49.1%), moderately differentiated in 16 cases (29.1%) and poorly differentiated in 12 cases (21.8%). No mortality was observed. One-year, two-year and three-year overall survival rates were 90.1%, 81.8% and 72.3%, respectively.

Conclusions The results of current study suggested that laparoscopic gastrectomy for gastric cancer is technical feasibility, oncological efficacy and safe technique. Additional benefits of decreased postoperative complications and decreased length of hospital stay make this a preferable appoach for selected patients.


Session: Poster
Program Number: P257
View Poster

103

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube
  • Instagram
  • TikTok

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons