Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach

Gong, JiaQing; Cao, YongKuan; Wang, YongHua; Zhang, GuoHu; Wang, PeiHong; Luo, GuoDe

doi:10.7150/jca.10639



International Journal of Biological Sciences

International Journal of Medical Sciences

Theranostics

Journal of Genomics

Nanotheranostics

Global reach, higher impact

Full Text | PDF

J Cancer 2015; 6(2):120-127. doi:10.7150/jca.10639 This issue Cite

Research Paper

Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach

JiaQing Gong^*✉, YongKuan Cao^*, YongHua Wang, GuoHu Zhang, PeiHong Wang, GuoDe Luo

Center of General Surgery, the People's Liberation Army General Hospital of Chengdu Command, Chengdu 610083, Sichuan Province, China.
*These authors have made equal contributions for this study.

Citation:

Gong J, Cao Y, Wang Y, Zhang G, Wang P, Luo G. Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach. J Cancer 2015; 6(2):120-127. doi:10.7150/jca.10639. https://www.jcancer.org/v06p0120.htm

Other styles

Abstract

Three-step hand-assisted laparoscopic D2 radical gastrectomy (HALG) is a modified surgical procedure that has achieved satisfactory results for obese patients in our surgical center. To fully elucidate the advantages of this procedure, in this study, comprehensive and in-depth comparative analyses were performed to assess clinical data from obese gastric cancer patients who underwent HALG, laparoscopic-assisted D2 radical gastrectomy (LAG), and open D2 radical gastrectomy (OG) in our surgical center during a specific time period. For the 3 groups, incision length was 1.25 cm longer for the HALG group than for the LAG group but was significantly shorter for the HALG group than for the OG group (P =0.00). The rate of conversion to laparotomy , the pneumoperitoneum time and the number of recovered lymph nodes were significantly better for the HALG group than for the LAG group (P <0.05). The pain score at day 2 after surgery, intestinal function recovery time, and duration of postoperative hospital stay were not significantly different for the HALG and LAG groups ( P >0.05) but were significantly better for the HALG group than for the OG group (P <0.05). There were significantly fewer postoperative complications for the HALG group than for the LAG and OG groups (P =0.049). According to the results, the “three-step HALG method” incorporates both the thoroughness of the radical OG approach and the minimal invasiveness of the LAG approach for obese patients. Thus, the HALG approach is a relatively safe and extremely feasible surgical procedure for the treatment of these patients.

Keywords: hand-assisted laparoscopic D2 radical gastrectomy, laparoscopy-assisted D2 radical gastrectomy, open D2 radical gastrectomy, obese patients.

Citation styles

APA

Gong, J., Cao, Y., Wang, Y., Zhang, G., Wang, P., Luo, G. (2015). Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach. Journal of Cancer, 6(2), 120-127. https://doi.org/10.7150/jca.10639.

ACS

Gong, J.; Cao, Y.; Wang, Y.; Zhang, G.; Wang, P.; Luo, G. Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach. J. Cancer 2015, 6 (2), 120-127. DOI: 10.7150/jca.10639.

NLM

CSE

Gong J, Cao Y, Wang Y, Zhang G, Wang P, Luo G. 2015. Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach. J Cancer. 6(2):120-127.

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See http://ivyspring.com/terms for full terms and conditions.