title: [Hand-assisted laparoscopic radical gastrectomy: comparison between laparoscopic and open approach].
abstract: OBJECTIVE
  To evaluate the short-term outcomes after hand-assisted laparoscopic radical gastrectomy.
  
  
  METHODS
  Between June 2010 and May 2011, a series of 15 patients underwent hand-assisted laparoscopic gastrectomy(HG), 16 patients underwent laparoscopic gastrectomy(LP), and 11 patients underwent open gastrectomy(OP). Short-term outcomes included operative time, blood loss, lymph nodes harvested, and the length of incision were collected after operation.
  
  
  RESULTS
  The operative time was 150-200 min in HG, 180-220 min in LP, and 150-200 min in OP respectively. The time of laparoscopic procedure was 18-58 and 70-100 min respectively. The average incision length was 6.8 cm in HG, 5.6 cm in LP, and 13.5 cm in OP. The average number of lymph nodes harvested was 17.6, 15.1 and 16.4 respectively. The average estimated blood loss was 228 ml, 278 ml, and 427 ml respectively. The mean length of hospital stay was 9.9, 10.8, and 12.4 d. No anastomotic leakage, bleeding, or gastric paralysis were found. One wound infection case was found in OP.
  
  
  CONCLUSIONS
  Hand-assisted laparoscopic gastrectomy is in concordance with the standardized treatment protocol for gastric cancer. Lymph node dissection is easier by HG, therefore HG can be an alternative for the radical resection of gastric cancer.
authors.affiliation: Department of Gastrointestinal Surgery, Chengdu Military General Hospital, Chengdu, China. caoyok@163.com
authors.forename: Yong-kuan
authors.initials: YK
authors.lastname: Cao
authors.forename: Li-ye
authors.initials: LY
authors.lastname: Liu
authors.forename: Jun
authors.initials: J
authors.lastname: Zhou
authors.forename: Guo-de
authors.initials: GD
authors.lastname: Luo
authors.forename: Yong-hua
authors.initials: YH
authors.lastname: Wang
authors.forename: Guo-hu
authors.initials: GH
authors.lastname: Zhang
authors.forename: Pei-hong
authors.initials: PH
authors.lastname: Wang
authors.forename: Jia-qing
authors.initials: JQ
authors.lastname: Gong
authors.forename: Lin
authors.initials: L
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D058733:Hand-Assisted Laparoscopy / Q000379:methods*; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*