Recently, the laparoscopic operation to an early gastric cancer has established. This study was designed to review our initial experience with laparoscopic gastric surgical techniques to evaluate indications and surgical results.
We undertook a retrospective analysis of 156 patients m(104 men and 52 women, mean age 62.4 years) who underwent laparoscopic gastric surgical procedures between 2004 and 2007. Procedures performed were distal gastrectomy(n=124), wedge resection(n=3), @proximal gastrectomy(n=4), and total gastrectomy(n=25). Patients were divided into two groups according to the date of the procedure, from the earliest to the most recent.
There were 156 patients with early gastric cancer. In 1case conversion was made to an open surgical procedure. Operation times required for distal gastrectomy, wedge resection, proximal gastrectomy, and total gastrectomy were 258, 120, 184, 290 min, and blood loss was 100, 5, 40, 107 g, respectively. Complications included transient anastomotic stenosis(n=1), leakage(n=1), and bleeding(n=1) after distal gastrectomy, anastomotic stenosis(n=3) after proxymal gastrectomy, and anastomotic leakage(n=3) after total gastrectomy. There were no complications after wedge resection. Comparing the first and second halves of the series after distal gastrectomy, operation time is shorter in the recent group and the number of dissected lymph nodes at this procedure increased from 27 to 31.
Laparoscopic gastric surgical procedures are safe and feasible for early gastric cancers and submucosal tumors. Technical advances in lymph node dissection have made distal gastrectomy a leading and increasingly popular laparoscopic procedure for early gastric cancer.
Program Number: P274