[Laparoscopic gastric resection in 50 cases of gastric benign diseases].
OBJECTIVE
To explore the feasibility, effect, and clinic value of total laparoscopic gastric resection in patients with benign gastric disease.


METHODS
The clinical materials of 50 cases underwent total laparoscopic gastric resection (LG group) and 104 cases open surgery (OG group) between January 2002 and June 2006 were compared. The operation time, intraoperative blood loss, mean time of stay in hospital and postoperative complications were studied.


RESULTS
All operations in LG group were successfully preformed with laparoscopic technique, and the mean operation time was 105 min, mean intraoperative blood loss was 50 ml, and mean hospital stay was 7 days. Incisional wound infection occurred in 2 cases and no serious complications occurred in this group. In OG group, the mean operation time was 118 min, mean intraoperative blood loss was 108 ml, and mean hospital stay was 12 days. Wound infection occurred in 7 cases, disorder of gastric emptying was found in 3 cases, fistula of anastomotic stoma happened in 1 case and bowel obstruction occurred in 1 case. There was significant difference in operation blood loss and hospital stay between the two groups (P < 0.05).


CONCLUSIONS
Laparoscopic gastric resection is a safe and feasible minimally-invasive surgery, it brings less pain, less bleeding, shorter hospital stay.
Sun
Yue-ming
YM
Department of Minimally Invasive Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. jssym@vip.sina.com
Bai
Jian-feng
JF
Lu
Wen-xiong
WX
Shi
Yi
Y
Fu
Zan
Z
Wang
Yong
Y
Cai
Hui-hua
HH
Zhao
Han-lin
HL
Miao
Yi
Y
D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013272:Stomach Diseases / Q000601:surgery*; D016896:Treatment Outcome