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Date Published: 15/05/2023
Online Published: 15/05/2023
Abstract Views: 164
Views PDF: 93
Issue
No. 41 (2021)
Section
Article
How to Cite
Nguyen , T. Q., & Nguyen , V. L. (2023). THE ROLE OF LAPARASCOPIC GASTRECTOMY AND D2 LYMPHADENECTOMY OF STAGE III GASTRIC CANCER. Cantho Journal of Medicine and Pharmacy, 41, 127-134. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/766

THE ROLE OF LAPARASCOPIC GASTRECTOMY AND D2 LYMPHADENECTOMY OF STAGE III GASTRIC CANCER

Thanh Quan Nguyen 1,, Van Lam Nguyen 1
1 Can Tho University of Medecine and Pharmacy

Main Article Content

Abstract

           Background: Gastric cancer is common cancer in the world as well as in Vietnam. Currently, laparoscopic gastrectomy with D2 lymphadenectomy for gastric cancer is a popular treatment. However, there haven’t had many studies on laparoscopic gastrectomy with D2 lymphadenectomy for gastric cancer for stage III in Vietnam. Objectives: Determine the number of retrieved lymph nodes, the rate of conversion to open surgery, operative time, operative blood loss, the number of lymph nodes metastazised after surgery, intraoperative complications, postoperative complications and postoperative survival rate. Materials and methods: A case series study was carried out from January 2017 to June 2021. The research variables included: evaluation of the number of retrieved lymph nodes, the rate of conversion to open surgery, operative time, operative blood loss, the number of metastases after surgery, intraoperative complications, and postoperative complications, postoperative survival rate. Results: There were no cases that had to change to open surgery. The average operative time was 303 ± 7.057 minutes, the average operative blood loss was 65.6 ± 4.705 ml. The average number of retrieved lymph nodes was 13.22 ± 0.631 nodes. There were 34 cases (68%) of lymph node metastasis after surgery. The number of retrieved lymph nodes for lesions at T4a and T4b stages was significantly more than that of lesions below T4a, survival time after 1 year was 93.87% and after 3 years was 76.08%. There was a case of intraoperative bleeding due to laceration of the left gastric artery during surgery which was well managed through laparoscopic surgery, one case died on the 19th day after surgery due to severe pneumonia, respiratory failure and 4 cases. Postoperative pneumonia was treated medically. Conclusion: Laparoscopic gastrectomy with D2 lymphadenectomy is safe in the treatment of stage III gastric cancer. 

Article Details

Keywords

Gastric cancer, laparoscopic, gastrectomy

References

1. Triệu Triều Dương (2008), Nghiên cứu kỹ thuật cắt dạ dày, vét hạch D2 bằng phẫu thuật nội soi tại Bệnh viện 108, Y học TP. HồChí Minh, 12(4), tr.204-208.
2. Võ Duy Long (2017), Đánh giá kết quả phẫu thuật nội soi điều trị ung thư dạ dày giai đoạn I, II, III, Luận án tiến sĩ Y học, Đại học Y Dược TPHCM.
3. Đỗ Trường Sơn (2014), Đánh giá kết quả xa sau mổ của phẫu thuật nội soi điều trị ung thư dạ
dày tại khoa Phẫu thuật Tiêu hóa Bệnh viện Việt Đức, Nghiên cứu y học, 88(3), tr.82-88.
4. Trịnh Hồng Sơn (2000), Nghiên cứu nạo vét hạch trong điều trị phẫu thuật ung thư dạ dày, Luận án Tiến sĩ Y học, Đại học Y Hà Nội.
5. Đỗ Văn Tráng (2012), Nghiên cứu kỹ thuật nạo vét hạch bằng phẫu thuật nội soi trong điều trị ung thư dạ dày vùng hang môn vị, Luận án tiến sĩ Y học, Đại học Y Hà Nội.
6. Chen K, Mou YP, Xu XWet al (2014), Short-term surgical and long-term survival outcomes after laparoscopic distal gastrectomy with D2 lymphadenectomy for gastric cancer, BMC Gastroenterol, 14: 41-48.
7. D’souza MA, Singh K, Shrikhande (2009), Surgery for gastric cancar: an evidence-based perspective, J Cancer Res Ther, 5(4), pp.225-231.
8. Kelly KJ, Selby L, Chou JF et al. (2015), Laparoscopic Versus Open Gastrectomy for Gastric Adenocarcinoma in the West: A Case-Control Study, Ann Surg Oncol, 22(11), pp.3590-6.
9. Kitano S, Iso Y, Moriyama M et al. (1994), Laparoscopy-assisted Billroth I gastrectomy,
Surg Laparosc Endosc, 4(2), pp.146-148.
10. Lee JH, Lee CM, Son SY et al. (2014), Laparoscopic versus open gastrectomy for gastric cancer: Long-term oncologic results. Surgery, 155, pp.154-164.
11. Lin JX, Huang CM, Zheng CH et al. (2015), Surgical Outcomes of 2041 Consecutive Laparoscopic Gastrectomy Procedures for Gastric Cancer: A Large-Scale Case Control Study, PLoS One, 10(2): e0114948.
12. Peng JS, Song H, Yang ZL et al. (2010), Meta-analysis of laparoscopyassisted distal gastrectomy and conventional open distal gastrectomy for early gastric cancer, Chin J Cancer, 29(4), pp.349-354.
13. Tanimura S, Higashino M, Fukunaga et al. (2007), Laparoscopic gastrectomy with regional lymph node dissection for upper gastric cancer, Br J Surg, 94, pp.204-207.
14. Umemura A, Koeda K, Sasaki A et al (2015), Totally laparoscopic total gastrectomy for gastric cancer: Literature review and comparison of the procedure of esophagojejunostomy, Asian J Surg, 38(2), pp.102-112.
15. Zhipeng Zhu, Lulu Li, Jiuhua Xu, Weipeng Ye, Junjie Zeng, Borong Chen and Zhengjie Huang (2020), Laparoscopic versus open approach in gastrectomy for advanced gastric cancer, World Journal of Surgical Oncology, 18, pp.126, 1-22.