title: Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study.
abstract: BACKGROUND
  The feasibility and safety of Hand-assisted laparoscopic D2 radical gastrectomy (HALG) have been seldom reported, also, benefits and outcomes are not defined.
  
  
  METHODS
  We performed a comprehensive and in-depth comparative analysis of the general information, the intraoperative data and postoperative data in the Group HALG and the Group laparoscopy-assisted D2 radical gastrectomy (LAG).
  
  
  RESULTS
  The general data of HALG and LAG were no differences (P > 0.05); the blood loss and unexpected injury were similar(P > 0.05); the operative time, the incision length, the number of lymph nodes recovered, the rate of procedure conversion, the amount of postoperative complications, and the length of postoperative hospital stay of Group HALG were prior to that of Group LAG(P < 0.05); there were no differences for the pain score after day 2, the recovery time of intestinal function, the rate of reoperation, the 30-day hospital and readmission rate(P > 0.05); and there were significant linear correlations between the length of postoperative hospital stay and the operative time for both groups(P = 0.00).
  
  
  CONCLUSIONS
  Compared with LAG, HALG had similar features of being minimally invasive and radical in treating gastric cancers, and HALG was safer than LAG.
authors.affiliation: Department of General Surgery, The People's Liberation Army General Hospital of ChengDu Command, ChengDu, 610083, Sichuan Province, China, cdgjq123@126.com.
authors.forename: JiaQing
authors.initials: J
authors.lastname: Gong
authors.forename: YongKuan
authors.initials: Y
authors.lastname: Cao
authors.forename: YunMing
authors.initials: Y
authors.lastname: Li
authors.forename: GuoHu
authors.initials: G
authors.lastname: Zhang
authors.forename: PeiHong
authors.initials: P
authors.lastname: Wang
authors.forename: GuoDe
authors.initials: G
authors.lastname: Luo
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D061887:Conversion to Open Surgery; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011184:Postoperative Period; D011446:Prospective Studies; D012086:Reoperation; D013274:Stomach Neoplasms / Q000601:surgery*