Short Term Operative Outcomes of Laparoscopic Gastric Mobilization in Esophagectomy for Esophageal Cancer: Comparison with Hand Assisted Technique ()
ABSTRACT
Objective: This study evaluated the safety and operative utilities of the
laparoscopic gastric mobilization compared with hand-assisted laparoscopic
gastric mobilization. Patients and Methods: From April 2010 to November 2015,
125 patients with esophageal cancer have been performed laparoscopic
mobilization; 33 under hand-assisted laparoscopic gastric mobilization (HLG
group) and 92 under laparoscopic gastric mobilization without hand-assisted
technique (LG group). Preoperative data and surgical outcomes of 2 groups were
compared. Results: Preoperative data were not significantly different except
for BMI. Operation time in abdominal procedure of LG group is significantly
longer than HLG group (P < 0.0001). Otherwise, the blood loss and number of
dissected nodes of abdominal procedure was not significantly different in two
groups. The perioperative blood transfusions were needed in 7 cases (21.2%) in
HLG group and 25 (27.1%) in LG group. The postoperative complications and
mortality within 30 days after surgery were not significantly different in two
groups. The length of hospital stay was 29 days in HLG group and 31 days in HG
group, respectively. Conclusions: Our results suggested that laparoscopic
gastric mobilization was safe technique and the short-term operative outcomes
were comparable with that of hand-assisted laparoscopic mobilization.
Share and Cite:
Takemura, M. , Takii, M. , Kaibe, N. , Oshima, T. and Sasako, M. (2016) Short Term Operative Outcomes of Laparoscopic Gastric Mobilization in Esophagectomy for Esophageal Cancer: Comparison with Hand Assisted Technique.
Surgical Science,
7, 279-285. doi:
10.4236/ss.2016.77039.
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