【摘 要】
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Objective To comparative treatment outcomes of hand-assisted laparoscopic surgery(HALS)versus laparoscopical assisted surgery(LAS)in radical gastrectomy of advanced distal gastric cancer.Methods Retro
【机 构】
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Department of Gastroenterological Surgery,Chengdu Military General Hospital of People's Liberation
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Objective To comparative treatment outcomes of hand-assisted laparoscopic surgery(HALS)versus laparoscopical assisted surgery(LAS)in radical gastrectomy of advanced distal gastric cancer.Methods Retrospective analysis the Department of Gastroenterological Surgery of Chengdu Military General Hospital had admitted 124 cases of advanced distal gastric cancer from May 2008 to April 2012.These patients were assigned to the HALS group and the LAS group,each comprising of 62 patients,to carry out a comparative analysis of short-term and long-term treatment outcomes.short-term outcomes were including comparison of operation outcomes and tumor eradication outcomes,and long-term outcomes were including comparison of overall survival,disease-free survival and postoperative quality of life at 1 year and 3 years between the HALS group and the LAS group.Results The surgery was smoothly completed in all patients in the HALS group.In the LAS group,the surgery was completed in 4 cases after switching to HALS,with statistical significance between the groups(χ2=3.879,P=0.049).The operation durations were 180.03±21.52 minutes and 196.94±22.90 minutes respectively in the HALS group and the LAS group,with statistical significance between the groups(t=4.235,P<0.001).The numbers of lymph nodes resected were 28.37±11.12 and 22.44±5.64 respectively in the HALS group and the LAS group,with statistical significance between the groups(t=2.680,P=0.007).No statistically significant difference was found between the HALS group and the LAS group in the length of surgical incision,intraoperative bleeding volume,distal and proximal incisal edges of tumors,postoperative time to anal exsufflation,perioperative complications,overall survival,disease-free survival and quality of life(QOL)scores at 1 year and 3 years(P>0.05).Conclusion Compared with LAS,HALS for advanced distal gastric cancer have advantages including low rate of switching to open surgery,short operation duration,and more thorough dissection of lymph nodes.
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