[Short-term efficacy of laparoscopy-assisted distal gastrectomy with lymph node dissection in distal gastric cancer].
OBJECTIVE
To explore the feasibility and short-term efficacy of laparoscopy-assisted distal gastrectomy with D(2) lymph node dissection.


METHODS
Clinical data of 241 patients of distal gastric cancer undergone D(2) lymph node dissection from January 2007 to December 2008 were analyzed retrospectively. Among them, 93 underwent laparoscopy-assisted distal gastrectomy (LADG group), while 148 underwent open distal gastrectomy (ODG group). The number of removal lymph node, recovery, complication rate and mortality were compared between two groups.


RESULTS
The mean number of removal lymph node were not significantly different between two groups (27.5+/-9.1 in the LADG group vs 27.3+/-8.5 in the ODG group, P>0.05), and there were also no significant difference between two groups in T(1), T(2), T(3) patients according to the subgroup analysis of depth invasion (P>0.05). As compared to ODG group, although the operative time was significantly longer,the mean blood loss and transfused patient number were less, ground activity time, first flatus time, resume soft diet time and postoperative hospital stay were shorter, and complication rate was significantly lower in LADG group (all P<0.05).


CONCLUSIONS
LADG with D(2) lymph node dissection is oncologically compatible with open gastrectomy, and it is a safe and feasible procedure which leads to quick postoperative recovery.
Huang
Chang-ming
CM
Department of Surgical Oncology, The Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China. hcmlr2002@163.com
Wang
Jia-bin
JB
Zheng
Chao-hui
CH
Li
Ping
P
Xie
Jian-wei
JW
Lu
Hui-shan
HS
D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome