[Laparoscopic subtotal distal gastrectomy for distal gastric cancer]. / Opyt vypolneniya laparoskopicheskoi subtotal'noi distal'noi rezektsii v lechenii bol'nykh rakom antral'nogo otdela zheludka.
Khirurgiia (Mosk)
; (8): 34-38, 2021.
Article
en Ru
| MEDLINE
| ID: mdl-34363443
OBJECTIVE: To analyze the primary results of laparoscopic distal gastrectomy in patients with distal gastric cancer. MATERIAL AND METHODS: There were 21 laparoscopic distal gastrectomies in patients with distal gastric cancer. Mean age of patients was 63.7±6.3 years. According to TNM staging system, cancer stage 1 was detected in 90% of patients (n=19), stage 2a - in 10% (n=2) of patients. RESULTS: Time of distal gastrectomy was 190.4±51.6 min, blood loss - 90.3±51.2 ml. The number of excised lymph nodes was 21.2±5.1. We were able to achieve R0 resection edge in all patients. Length of hospital-stay was 7.6±2.3 days, incidence of postoperative complications - 23.8%. Complications Clavien-Dindo grade IIIb-V were observed in 9.5% of patients (n=2). Overall postoperative mortality was 4.7% (n=1). No progression of the underlying disease has been revealed in any patient throughout the follow-up period (since May 2018). To date, the maximum median follow-up is 25 months of overall and disease-free survival. CONCLUSION: Laparoscopic subtotal distal resection is an appropriate intervention ensuring R0 resection edge in most cases.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Gástricas
/
Laparoscopía
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Aged
/
Humans
/
Middle aged
Idioma:
Ru
Revista:
Khirurgiia (Mosk)
Año:
2021
Tipo del documento:
Article
Pais de publicación:
Rusia