World Journal of Laparoscopic Surgery

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VOLUME 6 , ISSUE 3 ( September-December, 2013 ) > List of Articles

RESEARCH ARTICLE

Laparoscopy: A Procedure no less than Laparotomy for Lymph Node Dissection in Total Gastrectomy for Gastric Carcinoma

Manash Ranjan Sahoo, T Anil Kumar, Manoj Gowda

Citation Information : Sahoo MR, Kumar TA, Gowda M. Laparoscopy: A Procedure no less than Laparotomy for Lymph Node Dissection in Total Gastrectomy for Gastric Carcinoma. World J Lap Surg 2013; 6 (3):111-115.

DOI: 10.5005/jp-journals-10033-1194

Published Online: 01-12-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

To show that laparoscopic lymph node dissection and harvesting is equal to laparotomic lymph node dissection in patients undergoing total gastrectomy for gastric carcinoma.

Materials and methods

Retrospective data was collected from 36 patients who underwent total gastrectomy for carcinoma stomach. Fifteen patients underwent open total gastrectomy (OG) and other 21 laparoscopic assisted total gastrectomy (LAG) over a period of 4 years from March 2009 to June 2012. In the laparoscopic group, dissection of lymph nodes and division of ligaments and omentum was done laparoscopically using harmonic scalpel. Both groups were compared for operative blood loss, operative time, blood transfusion, morbidity, mortality, the number of harvested lymph nodes (HLNs) with emphasis on harvested lymph nodes.

Results

There were no significant differences in morbidity or mortality in both groups. Tumor free margins were obtained in all cases. Compared with OG group, the LAG group had significantly less blood loss, but a longer operation time. The mean harvested lymph nodes (HLN's) is 24.7 in LAG group as compared 23.3 in OG group.

Conclusion

Laparoscopic dissection and harvested lymph nodes is equivalent to OG with no other significant differences except for decreased blood loss and increased operative time. Thus, this procedure can achieve the same result as OG.

How to cite this article

Kumar TA, Gowda M, Sahoo MR. Laparoscopy: A Procedure no less than Laparotomy for Lymph Node Dissection in Total Gastrectomy for Gastric Carcinoma. World J Lap Surg 2013;6(3):111-115.


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