The Clinical Comparison of Totally Laparoscopic Total Gastrectomy with Open Total Gastrectomy for Gastric Cancer

Xiaowu Xu, MD, Ke Chen, MD, Weiwei Jin, Jiafei Yan, MD, Yucheng Zhou, MD, Yiping Mou, MD, FACS

Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China

Introduction: The aim of this study was to investigate the feasibility, safety and oncological effect of totally laparoscopic total gastrectomy (TLTG). In recent years, we could perform the esophagojejunal side to side anastomosis with Endo-cut via total laparoscopy.
Methods: The clinical data of patients undergoing TLTG or open total gastrectomy (OTG) from November 2009 to October 2011 were retrospectively analyzed.
Results: There were 18 patients in TLTG group and 72 in OTG group. Operation time was signi?cantly longer in TLTG group than OTG group (318.8±82.8min vs 256.8±56.5min, P<0.05), while the blood loss were obviously less in TLTG group (135.9±83.7ml vs 355.7±154.7ml, P<0.05). The postoperative morbidity was similar between TLTG and OTG group (27.8% vs 26.4%). First flatus time (3.1±1.0d vs 4.2±1.1d, P<0.05), first diet time (4.3±1.2d vs 6.4±3.0d, P<0.05), and post operative hospital stay (10.5±3.6d vs 13.9±6.0d, P<0.05) were signi?cantly shorter in the TLTG group than OTG group.
Conclusions: Totally laparoscopic total gastrectomy is a safe and feasible procedure with quick post-operation recovery. The short-term efficacy of TLTG is satisfactory.

Session: Poster Presentation

Program Number: P534

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