Original Article
Comparative analysis of clinical efficacy of laparotomy and laparoscopic-assisted surgery for liver metastasis from gastric cancer
Chen Weiping, Huang Jun, Lu Lingjun, Yang Bairen, Xu Qiyin, Sun Jiu, Fan Jianxin
Published 2020-04-01
Cite as Chin Arch Gen Surg(Electronic Edition), 2020,14(02): 121-124. DOI: 10.3877/cma.j.issn.1674-0793.2020.02.011
Abstract
ObjectiveTo compare the clinical efficacy of laparotomy and laparoscopic-assisted surgery in the treatment of gastric cancer with liver metastasis (GCLM) and to analyze the postoperative survival.
MethodsThe clinical data of one hundred and fifty patients with GCLM admitted to Yibin First People’s Hospital from June 2016 to June 2017 were retrospectively analyzed. They were divided into laparotomy group (78 cases) and laparoscopic group (72 cases). The clinical data, perioperative indicators, postoperative complications, and 2-year survival were compared between the two groups.
ResultsCompared with the laparotomy group, the laparoscopic group had longer operation time, less intraoperative bleeding, shorter postoperative ventilation time and hospitalization time (P<0.05), but there was no significant difference in the total incidence of complications between the two groups. After 30 (24-36) months of median follow-up, there were no significant differences in mean survival time and 2-year survival rate after surgery between the two groups (t=1.257, P=0.211; χ2=0.530, P=0.511).
ConclusionCompared with laparotomy, laparoscopic assisted treatment of GCLM has less bleeding, shorter recovery time, similar effect of peripheral lymph node dissection, prognosis and survival, and is safe and feasible.
Key words:
Stomach neoplasms; Liver metastasis; Laparoscopes; Laparotomy; Gastrectomy
Contributor Information
Chen Weiping
Department of General Surgery, Yibin First People’s Hospital, Yibin 644000, China
Huang Jun
Lu Lingjun
Yang Bairen
Xu Qiyin
Sun Jiu
Fan Jianxin
