Two Cases Reports of Hand-Assisted Laparoscopic Radical Gastrectomy for Gastric Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HU Jiankun , YANG Kun , CHEN Xinzu , ZHOU Zongguang , ZHANG Bo , CHEN Zhixin , CHEN Jiiaping.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Gastric cancer; 　Cardiac cancer; 　Hand-assisted laparoscopic surgery; Radical gastrectomy

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ObjectiveTo investigate the feasibility of hand-assisted laparoscopic surgery in radical gastrectomy for gastric cancer. MethodsThe data of two cases undergoing hand-assisted laparoscopic radical gastrectomy for gastric cancer, including operative time, operation related complications, intraoperative bleeding volumes, number of harvested lymph nodes, postoperative complications, time to restoration of bowel function, and length of postoperative hospital stay, etc, were retrospectively analyzed. ResultsTwo patients had undergone the successful hand-assisted laparoscopic radical total gastrectomy and distal gastrectomy without operation related complications. The operative time was 310 min and 220 min, respectively. While, the intraoperative bleeding volume was 120 ml and 80 ml with the number of harvested lymph node being 38 and 52, respectively. There were no postoperative bleeding, intestinal fistula, and anastomotic leakage， etc. The patients were discharged with smooth and fully recovery. ConclusionThe application of hand-assisted laparoscopic surgery in radical gastrectomy for gastric cancer is feasible and safe. However, the effectiveness needs further exploring.

Citation： HU Jiankun,YANG Kun,CHEN Xinzu,ZHOU Zongguang,ZHANG Bo,CHEN Zhixin,CHEN Jiiaping.. Two Cases Reports of Hand-Assisted Laparoscopic Radical Gastrectomy for Gastric Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(5): 520-522. doi: Copy

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9.	Memon MA, Khan S, Yunus RM, et al. Metaanalysis of laparoscopic and open distal gastrectomy for gastric carcinoma [J]. Surg Endosc, 2008， 22(8): 17811789.
10.	Kim HH, Hyung WJ, Cho GS, et al. Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report-a phase Ⅲ multicenter, prospective, randomized Trial (KLASS Trial) [J]. Ann Surg, 2010， 251(3): 417420.
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12.	韦佳明, 马胜强, 黄林平. 手助腹腔镜下胃部分切除2例 [J]. 中日友好医院学报, 2005， 19(4): 245.
13.	Chau CH, Siu WT, Li MK. Handassisted D2 subtotal gastrectomy for carcinoma of stomach [J]. Surg Laparosc Endosc Percutan Tech, 2002， 12(4): 268272.
14.	Usui S, Inoue H, Yoshida T, et al. Handassisted laparoscopic total gastrectomy for early gastric cancer [J]. Surg Laparosc Endosc Percutan Tech, 2003， 13(5): 304307.
15.	Kim YW, Bae JM, Lee JH, et al. The role of handassisted laparoscopic distal gastrectomy for distal gastric cancer [J]. Surg Endosc, 2005， 19(1): 2933.

1. 王立明, 杨华, 张朝军, 等. 手助式腹腔镜结肠癌根治术40 例临床分析 [J]. 中国普外基础与临床杂志, 2010， 17(4): 387388.
2. 李永双, 金俊哲, 梁健, 等. 手助腹腔镜脾切除加门奇静脉断流术对机体应激反应的影响 [J]. 中国普外基础与临床杂志, 2008， 15(12): 873876.
3. 詹茜, 沈柏用, 彭承宏, 等. 手助式腹腔镜在肝脏切除中的价值 [J]. 腹腔镜外科杂志, 2010， 15(11): 806810.
4. 日本胃癌學會編. 胃癌治療ガイドライン医師用 (第3版) [M]. 東京: 金原出版社, 2010.
5. 日本胃癌學會編. 胃癌取扱い規約(第14 版) [M]. 東京: 金原出版社, 2010.
6. Kitano S, Iso Y, Moriyama M, et al. Laparoscopyassisted Billroth Ⅰ gastrectomy [J]. Surg Laparosc Endosc, 1994， 4(2): 146148.
7. Chen XZ, Hu JK, Yang K, et al. Shortterm evaluation of laparoscopyassisted distal gastrectomy for predictive early gastric cancer: a metaanalysis of randomized controlled trials [J]. Surg Laparosc Endosc Percutan Tech, 2009， 19(4): 277284.
8. Hosono S, Arimoto Y, Ohtani H, et al. Metaanalysis of shortterm outcomes after laparoscopyassisted distal gastrectomy [J]. World J Gastroenterol, 2006， 12(47): 76767683.
9. Memon MA, Khan S, Yunus RM, et al. Metaanalysis of laparoscopic and open distal gastrectomy for gastric carcinoma [J]. Surg Endosc, 2008， 22(8): 17811789.
10. Kim HH, Hyung WJ, Cho GS, et al. Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report-a phase Ⅲ multicenter, prospective, randomized Trial (KLASS Trial) [J]. Ann Surg, 2010， 251(3): 417420.
11. National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncologyTM. Gastric Cancer V.2.2010 [M]. http://www.nccn.org/professionals/physician_gls/pdf/gastric.pdf， 2010622.
12. 韦佳明, 马胜强, 黄林平. 手助腹腔镜下胃部分切除2例 [J]. 中日友好医院学报, 2005， 19(4): 245.
13. Chau CH, Siu WT, Li MK. Handassisted D2 subtotal gastrectomy for carcinoma of stomach [J]. Surg Laparosc Endosc Percutan Tech, 2002， 12(4): 268272.
14. Usui S, Inoue H, Yoshida T, et al. Handassisted laparoscopic total gastrectomy for early gastric cancer [J]. Surg Laparosc Endosc Percutan Tech, 2003， 13(5): 304307.
15. Kim YW, Bae JM, Lee JH, et al. The role of handassisted laparoscopic distal gastrectomy for distal gastric cancer [J]. Surg Endosc, 2005， 19(1): 2933.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Two Cases Reports of Hand-Assisted Laparoscopic Radical Gastrectomy for Gastric Cancer

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