Surgical Outcomes of Laparoscopic-assisted Distal Gastrectomy Versus Totally Laparoscopic Distal Gastrectomy Billroth I for Gastric Cancer.

IF 1.1 4区医学 Q3 SURGERY Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2024-02-01 DOI:10.1097/SLE.0000000000001255

Ahmed Motamiez, Doaa Maximous, Ahmed A S Salem, Badawy M Ahmed, Seong-Ho Kong, Do Joong Park, Hyuk-Joon Lee, Han-Kwang Yang

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Abstract

Objective: The present study aimed to compare intraoperative and postoperative outcomes of laparoscopic-assisted distal gastrectomy versus totally laparoscopic distal gastrectomy (TLDG) Billroth I (BI) for gastric cancer and to assess the impact of the initial introduction phase of TLDG BI anastomosis.

Patients and methods: The study analyzed the prospectively collected data of patients who underwent laparoscopic distal gastrectomy BI from 2014 to 2021 at Seoul National University Hospital.

Results: Among 1116 patients, laparoscopic-assisted distal gastrectomy BI was performed in 566 patients and TLDG BI was performed in 550 patients. The total laparoscopic arm had a faster mean operative time (190 vs 208 min; P < 0.001) and a shorter postoperative hospital stay (7.4 vs 7.9 d; P < 0.001). Local complications were higher in the total laparoscopic group (17.6% vs 9.9%; P = 0.008) during the early introduction phase.

Conclusion: The total laparoscopic approach for BI reconstruction is safe and effective with faster operative time, shorter hospital stays, and less wound infection, but it may be associated with an increase in postoperative surgical complications and hospital stay in the early introduction phase.

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腹腔镜辅助远端胃切除术与全腹腔镜远端胃切除术比洛斯I型治疗胃癌的手术效果。

研究目的本研究旨在比较腹腔镜辅助远端胃切除术与全腹腔镜远端胃切除术（TLDG）Billroth I（BI）治疗胃癌的术中和术后效果，并评估TLDG BI吻合术初始导入阶段的影响：研究分析了2014年至2021年在首尔大学医院接受腹腔镜远端胃切除术BI的患者的前瞻性数据：在1116名患者中，566名患者接受了腹腔镜辅助远端胃切除术，550名患者接受了TLDG远端胃切除术。全腹腔镜手术组的平均手术时间更短（190 分钟对 208 分钟；P < 0.001），术后住院时间更短（7.4 天对 7.9 天；P < 0.001）。在早期引入阶段，全腹腔镜组的局部并发症较高（17.6% vs 9.9%; P = 0.008）：结论：全腹腔镜方法用于 BI 重建安全有效，手术时间更快，住院时间更短，伤口感染更少，但在早期引入阶段可能会增加术后并发症和住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.