Acceptability of laparoscopy-assisted gastrectomy for patients with previous intra-abdominal surgery.
OBJECTIVE
This study assessed the acceptability of laparoscopy-assisted gastrectomy (LAG) for patients with previous intra-abdominal surgery (PIS).


METHODS
Sixteen patients with PIS had undergone LAG; 9 of laparoscopy-assisted distal gastrectomy, 2 of laparoscopy-assisted total gastrectomy and 5 of laparoscopy-assisted remnant gastrectomy (LARG). Difficulty, safety, and accuracy of LAG were compared between patients with PIS and with no previous intra-abdominal surgery. An independent group of 11 cases with open remnant gastrectomy (ORG) was used for comparing with LARG.


RESULTS
No significant difference was observed in conversion rate, intraoperative complication, operation time, blood loss, dissected lymph nodes, postoperative complications and hospital stay between PIS, and no PIS. There was no significant difference in operative time, dissected lymph nodes, and postoperative complications between LARG and ORG. Blood loss was lesser and postoperative hospital stay was shorter in LARG than in ORG.


CONCLUSIONS
LAG for patients with PIS is acceptable.
Kawamura
Hideki
H
Department of Surgery, JA Sapporo Kosei Hospital, Sapporo, Japan. h.kawamura@ja-hokkaidoukouseiren.or.jp
Yokota
Ryoichi
R
Homma
Shigenori
S
Sato
Masanori
M
D000005:Abdomen / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D005240:Feasibility Studies; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D018530:Gastric Stump / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013274:Stomach Neoplasms / Q000601:surgery*