Document Type : Original Article
Authors
1
department of surgery, faculty of medicine, zagazig university, zagazig, egypt
2
deoartment of surgery, faculty of medicine, zagazig university, zagazig, egypt
3
department of internal medicine, faculty of medicine, zagazig university, zagazig, egypt
4
department of tropical medicine, faculty of medicine, zagazig university, zagazig, egypt
5
department of clinical oncology and nuclear medicine, faculty of medicine, zagazig university, zagazig, egypt
6
department of general surgery, faculty of medicine, zagazig university, zagazig, egypt
Abstract
Background: Laparoscopic assisted gastric resection (Laparoscopic gastrectomy LG) has become increasingly done, as there is marked improvement in equipment and experiences of surgeons regarding such minimally invasive procedures to the degree that many centers now performed LG as a routine resection method of the stomach in locally advanced gastric cancer.
The aim: is to compare between open gastrectomy and LG as management procedures for cancer stomach regarding operative, perioperative and detailed long-term, patients follow-up oncologic outcomes and survival benefits.
Methods: We performed this prospective study on 30 patients with confirmed gastric cancer. We divided patients into 2 equal groups, performed open gastrectomy for the first group and LG for the second group followed our patients for 5 years. We compared between groups regarding; operative, perioperative, postoperative parameters, recurrence and survival rates.
Results: We showed that the LG group has longer operating time, less amount of blood loss (p 0.05).
Conclusion: We found that LG is an effective and safe surgical modality that is better than open approach in management of gastric cancer regarding; early recovery and less peri-operative morbidity, wound infection and respiratory complications.
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