[Gastrectomy and laparoscopic lymphadenectomy for carcinoma: preliminary experience with 59 cases].

I supplementi di Tumori : official journal of Societa italiana di cancerologia ... [et al.] Pub Date : 2005-05-01

E Orsenigo, M Carlucci, V Tomajer, S Di Palo, P Baccari, A Tamburini, A Mereu, C Staudacher

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Abstract

Background: Laparoscopic surgery has been used in the treatment of gastric cancer with low mortality and morbidity and improvement in patient's quality of life.

Aim: To evaluate the results of laparoscopic gastric resection.

Methods: A retrospective review of 59 patients after laparoscopic surgery for gastric cancer was performed. The patients were 31 males and 28 females with a mean age of 67 (+/- 11) years (min 39, max 90).

Results: Tumor stage was IA in 15 patients, IB in 10, II in 9, IIIA in 6, IIIB in 9, and IV in 10. In 15 cases the tumor was an early gastric cancer. The mean number of dissected lymph nodes was 29 +/-10. Conversion rate was 16%. Morbidity rate was 37%. The median length of hospital stay was 10 days. Operative mortality was 3%. The mean time of follow-up was 23 months. Two-year survival was 75%.

Conclusions: Laparoscopic radical total or subtotal gastrectomy with extended lymphadenectomy for gastric cancer is a feasible, safe, and oncologically effective procedure.

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[胃癌胃切除术+腹腔镜淋巴结切除术59例初步体会]。

背景:腹腔镜手术治疗胃癌具有低病死率、低发病率和提高患者生活质量的优点。目的:评价腹腔镜胃切除术的效果。方法:对59例腹腔镜胃癌手术患者进行回顾性分析。男性31例，女性28例，平均年龄67(±11)岁(最小39岁，最大90岁)。结果:肿瘤分期IA 15例，IB 10例，II 9例，IIIA 6例，IIIB 9例，IV 10例。15例为早期胃癌。平均淋巴结清扫数为29 +/-10。转化率为16%。发病率为37%。住院时间中位数为10天。手术死亡率为3%。平均随访时间23个月。两年生存率为75%。结论:腹腔镜胃癌根治性全胃或次全胃并扩大淋巴结切除术是一种可行、安全、有效的治疗方法。

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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I supplementi di Tumori : official journal of Societa italiana di cancerologia ... [et al.]

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