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Three-step hand-assisted laparoscopic d2 radical gastrectomy for chinese obese patients: a highly efficient and feasible surgical approach.
| Content Provider | Europe PMC |
|---|---|
| Author | Gong, JiaQing Cao, YongKuan Wang, YongHua Zhang, GuoHu Wang, PeiHong Luo, GuoDe |
| Copyright Year | 2015 |
| Abstract | Three-step hand-assisted laparoscopic D2 radical gastrectomy (HALG) is a modified surgical procedure that has achieved satisfactory results for obese patients in our surgical center. To fully elucidate the advantages of this procedure, in this study, comprehensive and in-depth comparative analyses were performed to assess clinical data from obese gastric cancer patients who underwent HALG, laparoscopic-assisted D2 radical gastrectomy (LAG), and open D2 radical gastrectomy (OG) in our surgical center during a specific time period. For the 3 groups, incision length was 1.25 cm longer for the HALG group than for the LAG group but was significantly shorter for the HALG group than for the OG group (P =0.00). The rate of conversion to laparotomy , the pneumoperitoneum time and the number of recovered lymph nodes were significantly better for the HALG group than for the LAG group (P <0.05). The pain score at day 2 after surgery, intestinal function recovery time, and duration of postoperative hospital stay were not significantly different for the HALG and LAG groups ( P >0.05) but were significantly better for the HALG group than for the OG group (P <0.05). There were significantly fewer postoperative complications for the HALG group than for the LAG and OG groups (P =0.049). According to the results, the “three-step HALG method” incorporates both the thoroughness of the radical OG approach and the minimal invasiveness of the LAG approach for obese patients. Thus, the HALG approach is a relatively safe and extremely feasible surgical procedure for the treatment of these patients. |
| Volume Number | 6 |
| PubMed Central reference number | PMC4280394 |
| Issue Number | 2 |
| PubMed reference number | 25561976 |
| Journal | Journal of Cancer [J Cancer] |
| e-ISSN | 18379664 |
| DOI | 10.7150/jca.10639 |
| Language | English |
| Publisher | Ivyspring International Publisher |
| Publisher Date | 2015-01-01 |
| Publisher Place | Sydney |
| Access Restriction | Open |
| Rights License | © Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited. |
| Subject Keyword | hand-assisted laparoscopic D2 radical gastrectomy laparoscopy-assisted D2 radical gastrectomy open D2 radical gastrectomy obese patients. |
| Content Type | Text |
| Resource Type | Article |
| Subject | Oncology |
