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摘要
BackgroundThe purpose of the study was to evaluate the safety and feasibility of a new surgical procedure named modularized laparoscopic regional En bloc mesogastrium excision (rEME) based on the membrane anatomy in distal laparoscopic radical gastrectomy for gastric cancer.MethodsFrom January 2014 to June 2017, 92 consecutive cases of patients with stages I-III distal gastric cancer were divided into 2 groups: laparoscopic radical gastrectomy plus standard D-2 lymph node dissection (SD group, n=44) and modularized rEME (rEME group, n=48). Evaluations were made in terms of the operative data, pathological results, recovery time of digestive tract functions, complications, and length of stay.Results85 patients (SD group, n=40 and rEME group, n=45) were finally included for analysis. There were no significant differences in the median total numbers of dissected LNs (31.9810.48 vs. 34.93 +/- 13.12, p=0.261), LNs in the greater curvature (12.18 +/- 6.55 vs. 13.62 +/- 8.09, p=0.444), LNs in the lesser curvature (19.55 +/- 7.40 vs. 17.98 +/- 8.31, p=0.365) between the SD and rEME groups. The rEME group showed lower loss of blood volume (107.11 +/- 60.13ml vs. 146.25 +/- 85.78ml, p=0.019). No significant differences were found in recovery time of digestive tract functions, postoperative complication rates and length of hospital stay between the two groups.Conclusion p id=Par4 Laparoscopic radical gastrectomy plus modularized rEME based on the membrane anatomy is a safe and feasible procedure for distal gastric cancer.
- 出版日期2018-11
- 单位南京医科大学
