https://scholars.lib.ntu.edu.tw/handle/123456789/477450
標題: | Gasless laparoscopy-assisted distal gastrectomy for early gastric cancer: Analysis of initial results | 作者: | Chang T.-C. CHIEN-CHIA CHEN Wang M.-Y. CHING-YAO YANG MING-TSAN LIN |
公開日期: | 2011 | 卷: | 21 | 期: | 3 | 起(迄)頁: | 215-220 | 來源出版物: | Journal of Laparoendoscopic and Advanced Surgical Techniques | 摘要: | Background: Laproscopic surgery is widely used in treating gastrointestinal disease. This study investigated the clinical result, short-term outcomes, and cost analysis of the newly developed gasless laparoscopy-assisted distal gastrectomy (GLADG) and compared it with conventional open distal gastrectomy (ODG). Methods: Seventy-five patients underwent distal gastrectomy with radical lymph node dissection for early gastric cancer from December 2005 to January 2008. Thirty-one patients underwent GLADG and 44 underwent ODG. Postoperative pain, morphine use, disease-free and overall survival, and surgical and hospital costs were measured postoperatively and compared between the two groups. Results: Patients in the two groups were comparable by age, sex, body mass index, tumor size, tumor location, cancer staging, and operative time. The GLADG group had early start of oral intake and shorter postoperative hospital stay (P<05). There was less morphine use from postoperative day 1 to 4 in the GLADG group than in the ODG group (P<.05), and body temperature from postoperative day 1 to 2 was lower in the GLADG than in the ODG group (P<.05). Cost analysis showed that operation cost (100,242±5385 versus 36,455±1419) and equipment cost (65,909±5385 versus 2122±1419) was higher in the GLADG group, but its total hospital cost (193,552±12,715 versus 206,676±41,920) was lower than in the ODG group (P<.05). The 2-year disease-free and overall survival rates were not different between the two groups. Conclusions: GLADG is feasible for early gastric cancer. It is advantageous because of less pain, less postoperative inflammatory response, less blood loss, and shorter total hospital stay while achieving the same oncologic results as ODG. ? Copyright 2011, Mary Ann Liebert, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953850755&doi=10.1089%2flap.2010.0054&partnerID=40&md5=babd1df8bd1062a1f89230019d056937 https://scholars.lib.ntu.edu.tw/handle/123456789/477450 |
ISSN: | 1092-6429 | DOI: | 10.1089/lap.2010.0054 | SDG/關鍵字: | morphine; adult; aged; article; body temperature; cancer surgery; cancer survival; clinical effectiveness; controlled study; cost benefit analysis; disease free survival; drug use; early cancer; female; food intake; gasless laparoscopy assisted distal gastrectomy; gastrectomy; health care cost; human; intermethod comparison; laparoscopic surgery; length of stay; lymph node dissection; major clinical study; male; operation duration; overall survival; postoperative pain; priority journal; stomach cancer; survival rate; survival time; treatment response; Adult; Aged; Aged, 80 and over; Blood Loss, Surgical; Disease-Free Survival; Female; Gastrectomy; Hospital Costs; Humans; Laparoscopy; Length of Stay; Lymph Node Excision; Male; Middle Aged; Pain Measurement; Pain, Postoperative; Stomach Neoplasms; Treatment Outcome |
顯示於: | 醫學系 |
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