title: [The clinical comparison of totally laparoscopic versus open total gastrectomy for gastric cancer].
abstract: OBJECTIVE
  To investigate the feasibility, safety and oncological effect of totally laparoscopic total gastrectomy (TLTG).
  
  
  METHODS
  The clinical data of TLTG cases and open total gastrectomy (OTG) patients between November 2007 and October 2011 were analyzed. Also compared the feasibility, safety and short-term outcomes of TLTG with OTG.
  
  
  RESULTS
  Ninty cases were analyzed. There were 18 cases in the TLTG group and 72 cases in the OTG group. Operation time was significantly longer in the TLTG group ((310 ± 86) minutes) than in the OTG group ((256 ± 57) min, t = 4.963, P = 0.002), However, the blood loss were significantly lower in the TLTG group ((136 ± 84) ml vs. (359 ± 141) ml, t = -11.734, P = 0.000). The post operative morbidity was similar between the TLTG and OTG group. First flatus time (t = -7.020), first diet time (t = -6.166 and -5.698), and post operative hospital stay (t = -4.610) were significantly shorter in the TLTG group than in the OTG group (P < 0.05).
  
  
  CONCLUSIONS
  LTG is a safe and feasible procedure with quick post-operation recovery. The laparoscopic side-to-side esophagojejunal anastomosis is a safe and feasible method of alimentary reconstruction after laparoscopic total gastrectomy.
authors.affiliation: Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China.
authors.forename: Ke
authors.initials: K
authors.lastname: Chen
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Mou
authors.forename: Xiao-Wu
authors.initials: XW
authors.lastname: Xu
authors.forename: Jie
authors.initials: J
authors.lastname: Wang
authors.forename: Jia-Fei
authors.initials: JF
authors.lastname: Yan
authors.forename: Ren-Chao
authors.initials: RC
authors.lastname: Zhang
authors.forename: Yu-Cheng
authors.initials: YC
authors.lastname: Zhou
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D007902:Length of Stay; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome