Gastrectomía laparoscópica en cáncer gástrico: Experiencia preliminar / Laparoscopic gastrectomy in gastric cancer: Experience in four patients
Rev. méd. Chile
; 135(4): 512-516, abr. 2007. ilus, tab
Article
em Es
| LILACS
| ID: lil-456664
Biblioteca responsável:
BR1.1
ABSTRACT
Background:
The development of the laparoscopic surgery has allowed its incorporation to the surgical treatment of gastric cancer.Aim:
To evaluate the feasibility and safety of laparoscopic gastrectomy in gastric cancer in our institution. Patients andmethods:
Prospective data in four patients who underwent laparoscopic gastrectomy for gastric cancer from May to August of 2005 was reviewed. Demographic data, clinical characteristics and postoperative results were registered. Patients were staged according to TNM-AJJC staging system.Results:
Four patients aged 48 to 80 years (three males), underwent a completely laparoscopic R0 gastrectomy with lymph node dissection. Two patients underwent total gastrectomy. A subtotal Billroth II gastrectomy was performed in the other two patients. The mean operative time was 260 minutes (Range 180-330). There were no conversions to open surgery. The mean postoperative hospital stay was 6.5 days (Range 6-7 days). There were no complications. According to pathology, one patient presented carcinoma in stage IA, two patients in stage IB and one patient in stage IIIB. The mean number of lymph nodes dissected was 40 (Range 35-54).Conclusions:
Laparoscopic gastrectomy is a feasible procedure with good postoperative results in this preliminary experience.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Neoplasias Gástricas
/
Carcinoma
/
Laparoscopia
/
Gastrectomia
Tipo de estudo:
Observational_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile