Laparoscopy-assisted Distal Gastrectomy for Gastric Cancer Patients With Comorbid Diseases

2011 ◽  
Vol 21 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Yoo Shin Choi ◽  
Do Joong Park ◽  
Hyuk-Joon Lee ◽  
Hyung-Ho Kim ◽  
Han-Kwang Yang ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Patients ◽  
Distal Gastrectomy ◽  
Comorbid Diseases ◽  
Gastric Cancer Patients

scholarly journals Totally Robotic Distal Gastrectomy: A Safe and Feasible Minimally Invasive Technique for Gastric Cancer Patients Who Undergo Distal Gastrectomy

2020 ◽  
Vol 37 (5) ◽  
pp. 360-367
Author(s):  
Yong Kuang ◽  
Sanlin Lei ◽  
Hua Zhao ◽  
Beibei Cui ◽  
Kuijie Liu ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Minimally Invasive ◽  
Cancer Patients ◽  
Distal Gastrectomy ◽  
Operating Time ◽  
Disease Free Survival ◽  
Invasive Technique ◽  
Estimated Blood Loss ◽  
Gastric Cancer Patients ◽  
Central South

Purposes: To explore the safety and feasibility of totally robotic distal gastrectomy (TRDG) for gastric cancer patients who undergo distal gastrectomy. Methods: Consecutive patients with gastric cancer who underwent TRDG (TRDG group) and robotic-assisted distal gastrectomy (RADG) (RADG group) were systematically reviewed at the Second Xiangya Hospital of Central South University from October 2015 to August 2018. Data were collected and statistically analyzed. Results: A total of 161 consecutive patients were included in this study: 84 cases in the TRDG group and 77 in the RADG group. Clinical characteristics and pathological results were mostly similar in both groups. The TRDG group had a significantly longer anastomotic time (20.6 ± 3.3 vs. 17.5 ± 4.0 min, p ˂ 0.001) but showed no difference in total operating time (167.0 ± 18.0 vs. 162.9 ± 17.6 min, p = 0.159). The postoperative hospitalization in the TRDG group was shorter than that in the RADG group (6.7 ± 1.2 vs. 7.2 ± 1.7 days, p = 0.019). Conversion rate, estimated blood loss, and postoperative complications were similar in both groups. There were no statistical differences in the estimated 2-year disease-free survival and overall survival rate between both groups. Conclusions: Although our current results need to be verified in further studies, TRDG represents a safe and feasible approach to distal gastrectomy and embodies the theory of minimally invasive surgery.

scholarly journals Anastomosis for distal gastrectomy in Chinese patients: uncut roux-Y or roux-Y?

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
B. K. Sah ◽  
J. Li ◽  
C. Yan ◽  
C. Li ◽  
M. Yan ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Postoperative Complications ◽  
Cancer Patients ◽  
Distal Gastrectomy ◽  
Controlled Trial ◽  
Group Versus ◽  
Anastomosis Group ◽  
Chinese Patients ◽  
Gastrojejunal Anastomosis ◽  
Gastric Cancer Patients

Abstract Background An appropriate method of anastomosis is crucial for gastric cancer patients who require gastrojejunal anastomosis. Surgeons have proposed different types of modified gastrojejunostomies in the last two decades. We focused on two types of standard anastomosis, i.e., Uncut Roux-Y and Roux-Y gastrojejunostomies, and compared the differences in immediate postoperative complications between the two types. Methods This is a retrospective study on 236 gastric cancer patients who underwent curative distal gastrectomy with gastrojejunal Roux-Y or Uncut Roux-Y anastomosis for six consecutive years. Immediate postoperative complications were compared between the two groups. The authors discussed the causes of the significant complications and their management. Results There was no difference in demographics between the two groups (92 Roux-y Versus 144 Uncut Roux-y). The overall complication rate was 20.8% with 1.4% anastomotic leakage in the Uncut Roux-Y group versus 33.7% with 7.6% anastomotic failures in the Roux-Y group (p < 0.05). More abdominal infections occurred in the Roux-Y anastomosis group compared with the Uncut Roux-Y anastomosis group (p < 0.05). Duration of postoperative stay was significantly longer in patients with Roux-y anastomosis group (p < 0.05). Conclusions Considering the surgical simplicity and postoperative complications, the Uncut Roux-Y is a better choice for anastomosis in patients with gastric cancer undergoing gastrojejunostomy. A well-designed large cohort in a multi-centre randomized controlled trial is necessary to support these findings and compare other aspects.

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