Page 6 - Laparoscopic Surgery Online Journal

T Anil Kumar et al

et al 16 evaluated 82 patients with AGC who underwent 11. Kitano S, Shiraishi N, Fujii K, Yasuda K, Inomata M, Adachi Y.
A randomized controlled trial comparing open vs laparoscopy-
laparoscopy-assisted total gastrectomy with D2 dissection
assisted distal gastrectomy for the treatment of early gastric
compared with 94 patients who received open surgery; a
cancer: an interim report. Surgery 2002 Jan;131(1 Suppl):
similar number of HLNs was obtained in both groups (34.2 S306-S311.
± 13.5 vs 36.4 ± 19.1, p = 0.331). In our hospital we are 12. Lee JH, Han HS, Lee JH. A prospective randomized study
doing D2 dissection for all cases of gastric cancer. In this comparing open vs laparoscopy-assisted distal gastrectomy in
early gastric cancer: early results. Surg Endosc 2005 Feb;19(2):
study we want to highlight that laparoscopic D2 gastrectomy
168-173.
provides same result as that of open surgery even in terms 13. Hayashi H, Ochiai T, Shimada H, Gunji Y. Prospective
of HCNs as there is very much debate now over this issue randomized study of open versus laparoscopy-assisted distal
which is also an important prognostic factor. gastrectomy with extraperigastric lymph node dissection for early
gastric cancer. Surg Endosc 2005 Sep;19(9):1172-1176.
14. Huscher CG, Mingoli A, Sgarzini G, Sansonetti A, Di Paola M,
CONCLUSION
Recher A, Ponzano C. Laparoscopic versus open subtotal
Laparoscopic dissection and harvested lymph nodes is gastrectomy for distal gastric cancer: five-year results of
a randomized prospective trial. Ann Surg 2005 Feb;241(2):
equivalent to OG with no other significant differences except
232-237.
for decreased blood loss and increased operative time. Thus, 15. Kim YW, Baik YH, Yun YH, Nam BH, Kim DH, Choi IJ,
this procedure can achieve the same result as OG. However, Bae JM. Improved quality of life outcomes after laparoscopy-
large-scale RCTs with a longer follow-up period should be assisted distal gastrectomy for early gastric cancer: results of a
prospective randomized clinical trial. Ann Surg 2008 Nov;
carried out in future studies to prove that LAG with D2
248(5):721-727.
dissection is a good alternative to OG in selected patients.
16. Du J, Zheng J, Li Y, Li J, Ji G, Dong G, Yang Z, Wang W, Gao
Z. Laparoscopy-assisted total gastrectomy with extended lymph
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