[Laparoscopic partial gastrectomy: Analysis of 18 procedures].
OBJECTIVE
To explore the laparoscopic partial gastrectomy and the indications.


METHODS
Eighteen patients who underwent laparoscopic partial gastrectomy from August 2005 to May 2006 were analyzed retrospectively.


RESULTS
Sixteen patients (including 6 with gastric cancer, 9 with duodenal ulcer, and 1 with gastric multiple polyps) underwent laparoscopic partial gastrectomy. The other two patients underwent an open surgical procedure (1 patient with the tumor size large than 6 cm, and the other patient with bleeding after loosening one clip). The rate of intraoperative subcutaneous emphysema was 5.88% (1/17), and no death occurred. The operation time was (285+/-30)min on average, the estimated blood loss was (130+/-50)mL, and the hospitalization was (11+/-4)d. One case of obstruction of distal loop happened after the surgery, and the rate was 6.25% (1/16). The patients were followed up for 1 approximately 9 months postoperatively. Trocar puncture-site metastases occurred in one patient.


CONCLUSIONS
Laparoscopic partial gastrectomy is safe and feasible with skillful laparoscopic technique and with restricted indications, and the surgical outcome may be similar to that of the open surgery.
Chen
Yong
Y
Department Department of Minimally Invasive Gastrointestinal Surgery,Second Xiangya Hospital,Central South University, Changsha 410011,China. zndxxyeyy@126.com.
Lei
San-lin
SL
Duan
Lun-xi
LX
Yi
Wen-jun
WJ
Yu
Dan
D
Sun
Ji-chun
JC
Miao
Xiong-ying
XY
Zhong
De-wu
DW
D000328:Adult; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013272:Stomach Diseases / Q000601:surgery*