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The benefit of laparoscopy-assisted distal gastrectomy compared with conventional open distal gastrectomy: a case-matched control study



The benefit of laparoscopy-assisted distal gastrectomy compared with conventional open distal gastrectomy: a case-matched control study



Hepato-Gastroenterology 50(54): 2251-2254



Background/Aims: Laparoscopy-assisted distal gastrectomy is a surgical procedure which is safe, useful, and technically feasible for patients with early gastric cancer. The aim of this study is to determine whether laparoscopy-assisted distal gastrectomy is also superior to conventional open distal gastrectomy. Methodology: The study comprised 27 consecutive patients with early gastric cancer who were admitted to our hospital from 1997 to 2000 and underwent distal gastrectomy. Ten patients underwent laparoscopy-assisted distal gastrectomy; and 17 conventional open distal gastrectomy. Results: Estimated blood loss was 17.7+-12.1g during laparoscopy-assisted distal gastrectomy, and 250.0+-160.8g during conventional open distal gastrectomy. The difference was statistically significant (p<0.001). The day of ambulation (2.7+-0.7 vs. 1.0+-0.0), and start of liquid diet (6.9+-1.2 vs. 4.3+-0.5) were significantly delayed in conventional open distal gastrectomy compared with laparoscopy-assisted distal gastrectomy (p<0.001, p<0.05). At the 3rd postoperative day, the serum C-reactive protein level in laparoscopy-assisted distal gastrectomy decreased significantly more than that in conventional open distal gastrectomy (4.2+-1.7 vs. 9.4+-2.5: p<0.05). No postoperative complication was found in laparoscopy-assisted distal gastrectomy. Conclusions: Laparoscopy-assisted distal gastrectomy is a safe and useful operation for most early gastric cancers. Laparoscopy-assisted distal gastrectomy has been superior to conventional open distal gastrectomy.

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Accession: 012636679

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PMID: 14696510


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