Đánh giá kết quả phẫu thuật nội soi hoàn toàn và phẫu thuật nội soi hỗ trợ cắt toàn bộ dạ dày nạo vét hạch D2 do ung thư

2021 ◽  
Author(s):  
Van Huong Nguyen
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Total Gastrectomy ◽  
Lymph Node Dissection ◽  
Laparoscopic Total Gastrectomy ◽  
Node Dissection ◽  
Female Ratio ◽  
D2 Lymph Node Dissection ◽  
Totally Laparoscopic Total Gastrectomy ◽  
Totally Laparoscopic

TÓM TẮT Đặt vấn đề: Nghiên cứu nhằm đánh giá kết quả phẫu thuật nội soi hoàn toàn và phẫu thuật nội soi hỗ trợ cắt toàn bộ dạ dày nạo vét hạch D2 do ung thư tại Bệnh viện Hữu nghị Đa khoa Nghệ An. Phương pháp: Nghiên cứu mô tả hồi cứu, gồm 126 bệnh nhân ung thư dạ dày được phẫu thuật nội soi hoàn toàn và phẫu thuật nội soi hỗ trợ cắt toàn bộ dạ dày vét hạch D2, từ 2013 đến 2020 Kết quả: Tuổi trung bình 60,6 ± 11,1 tuổi. Tỷ lệ nam/nữ 2.8/1. Ung thư ở giai đoạn I, II, III là 19,0%, 49,2%, 31,7%. Ung thư biểu mô tuyến nhú và ống là 70,6% và tế bào nhẫn là 24,6%. Tỷ lệ tai biến trong mổ của nhóm PTNS hoàn toàn là 4,4% và PTNS hỗ trợ 20,6%. Số hạch nạo vét được trung bình của 2 nhóm PTNS hoàn toàn là 23,7 ± 7,1 hạch và PTNS hỗ trợ là 18,0 ± 7,2 hạch. Lượng máu mất trung bình của PTNS hoàn toàn 30,56 ± 10,2 ml và PTNS hỗ trợ 36,11 ± 9,9 ml. Thời gian phẫu thuật trung bình của nhóm PTNS hoàn toàn là 206,4 ± 30,6 phút và PTNS hỗ trợ 220 ± 40,9 phút. Tỷ lệ biến chứng sau mổ của nhóm PTNS hoàn toàn là 4,4% và PTNS hỗ trợ là 22,3%. Thời gian nằm viện trung bình của nhóm PTNS hoàn toàn là 7,5 ± 2,1 ngày và PTNS hỗ trợ là 10,2 ± 2,4 ngày. Kết luận: Phẫu thuật nội soi hoàn toàn và phẫu thuật nội soi hỗ trợ cắt toàn bộ dạ dày nạo vét hạch D2 do ung thư là kỹ thuật an toàn và hiệu quả trong điều trị ung thư dạ dày. ABSTRACT EVALUATION OF OUTCOMES TOTALLY LAPAROSCOPIC TOTAL GASTRECTOMY AND LAPAROSCOPIC - ASSISTED TOTAL GASTRECTOMY WITH D2 LYMPH NODE DISSECTION DUE TO CANCER Introduction: To evaluate the results of totally laparoscopic total gastrectomy (TLTG) and laparoscopicassisted total gastrectomy (LATG) with D2 lymph node dissection to treat gastric cancer in the Nghean General Friendship Hospital. Materials and Methods: In a retrospective cohort study, 126 patients with gastric cancer underwent TLTG and LATG with D2 lymph node dissection between 2013 and 2020. Results: There were 126 patients with an average age of 60.6 ± 11.1 years. The male/female ratio was 2.8/1. The percent of patients with tumors at stages I, II, III were 19.0%, 49.2%, 31.7%, 70.6% of patients had papillary adenocarcinoma and tubular adenocarcinoma. Patients with ring cell carcinoma wereaccounted for 24.6%. The total percent of incidents during the surgery of the group of TLTG was 4.4%, and the group of LATG was 20.6%. The average number of harvested lymph nodes in the group of TLTG was 23.7 ± 7.1, and the group of LATG was 18.0 ± 7.2. The average blood loss in the group of TLTG was 30.56 ± 10.2 ml, and the group of LATG was 36.11 ± 9.9 ml, and the average operation time in the group of TLTG was 206.4 ± 30.6 minutes, and the group of LATG was 220 ± 40.9 minutes. The total percent of postoperative complications in the group of TLTG was 4.4%, and the group of LATG was 22.3%. The hospital stays in the group of TLTG was 7.5 ± 2.1 days, and the group of LATG was 10.2 ± 2.4 days. Conclusions: TLTG and LATGwith D2 lymph node dissectionwere safe and effective in treating gastric cancer. Keywords: Laparoscopic gastrectomy, gastric cancer, total gastrectomy

scholarly journals Totally laparoscopic total gastrectomy with technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of the esophagus and jejunum

2020 ◽  
Vol 7 (11) ◽  
pp. 3614
Author(s):  
Dinh Van Chien ◽  
Nguyen Van Huong ◽  
Dang Dinh Khoa ◽  
Nguyen Van Thuy ◽  
Ha Van Quyet ◽  
...  
Keyword(s):  
Lymph Node ◽  
Total Gastrectomy ◽  
Laparoscopic Total Gastrectomy ◽  
Linear Stapler ◽  
Node Dissection ◽  
D2 Lymph Node Dissection ◽  
The Mean ◽  
End To End ◽  
Totally Laparoscopic Total Gastrectomy ◽  
Totally Laparoscopic

Background: The technique of esophagojejunostomy in totally laparoscopic total gastrectomy is difficult and had a high frequency of incidents during surgery and anastomotic leakage. We aimed to evaluate the outcomes of the technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of the esophagus and jejunum in the totally laparoscopic total gastrectomy with D2 lymph node dissection in the treatment of gastric cancer.Methods: A prospective observational study on patients received technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum between July 2017 to July 2020.Results: We included 70 patients with a mean age of 62.5. There were 80% of patients having tubular adenocarcinoma and papillary adenocarcinoma, 11.4% of patients having tumors in the upper third of the stomach, and 81.4% of patients having tumors in the middle of the stomach. There were 4.2% of cases having incidents during the surgery and 2.8% of cases having complications after the surgery. No anastomotic leakage or death was observed after the surgery. The mean lymph node was 23, and the mean metastatic lymph node was 2.7. The operation time was 203.8 minutes. The mean hospital stay was 8.0 days. The one year survival after the surgery was 97.9%, and two year survival was 93.1%. The mean survival was 35.3 months.Conclusions: TLTG with D2 lymph node dissection using functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum was safe and effective in gastric cancer treatment. 

scholarly journals Single Incision Laparoscopic Total Gastrectomy and D2 Lymph Node Dissection for Gastric Cancer Using a Four-Access Single Port: The First Experience

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Metin Ertem ◽  
Emel Ozveri ◽  
Hakan Gok ◽  
Volkan Ozben
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Laparoscopic Surgery ◽  
Total Gastrectomy ◽  
Lymph Node Dissection ◽  
Single Incision ◽  
Single Port ◽  
Laparoscopic Total Gastrectomy ◽  
Node Dissection ◽  
D2 Lymph Node Dissection

Single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) have been developed to reduce the invasiveness of laparoscopic surgery. SILS has been frequently applied in various clinical settings, such as cholecystectomy, colectomy, and sleeve gastrectomy. So far, there have been four reports on single incision laparoscopic distal gastrectomy and one report on single incision laparoscopic total gastrectomy with D1 lymph node dissection for gastric cancer. In this report, we present our single incision laparoscopic total gastrectomy with D2 lymph node dissection technique using a four-hole single port (OctoPort) in a patient with gastric cancer.

scholarly journals Laparoscopic-assisted total gastrectomy with D2 lymph node dissection: a case of 12-year-old child with advanced gastric cancer

2020 ◽  
Vol 2 (1) ◽  
pp. 24-25
Author(s):  
Ru-Hong Tu ◽  
Jian-Xian Lin ◽  
Ping Li ◽  
Jian-Wei Xie ◽  
Jia-Bin Wang ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Advanced Gastric Cancer ◽  
Total Gastrectomy ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
D2 Lymph Node Dissection ◽  
Laparoscopic Assisted

The video shows the operation of laparoscopic-assisted total gastrectomy with D2 lymph node dissection for a 12-year-old child with advanced gastric cancer.

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