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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (06): 566-568. doi: 10.3877/cma.j.issn.1674-3946.2020.06.010

Special Issue:

• Original Article • Previous Articles     Next Articles

Clinical factors and prognosis of recurrence of laparoscopic radical gastrectomy in patients with early gastric cancer

Wei Zhang1,(), Zhenhua Cai2   

  1. 1. Yandan center hospital, General Branch, Yandan Hebei 056001
    2. Yandan center hospital, operating room, Yandan Hebei 056001
  • Received:2020-01-20 Online:2020-12-26 Published:2020-12-26
  • Contact: Wei Zhang
  • About author:
    Corresponding author: Zhang Wei, Email:
  • Supported by:
    Hebei Medical Science Research Project(20191831)

Abstract:

Objective

To analyze the clinical factors and prognosis of patients with early gastric cancer after laparoscopic radical resection.

Methods

100 patients with gastric cancer admitted to our hospital from March 2012 to March 2016 were divided into open group (50 cases, treated with open gastric cancer resection) and laparoscopic group (50 cases) according to different surgical methods. The laparoscopic radical gastrectomy was performed. The recurrence rate, VAQ score, GLQI score, 1 year, 2 years, and 3 years recurrence rate were compared between the two groups. Logistic analysis of risk factors for recurrence after laparoscopic radical gastrectomy.

Results

In the laparoscopic group, the operation time, length of incision, and length of hospital stay were significantly shorter than those in the open group. The amount of bleeding and VAS in the laparoscopic group were significantly lower than those in the open group. The GLQI score in the laparoscopic group was significantly higher than that in the open group. The 2-year and 3-year recurrence rates of the laparoscopic group (8.00%, 14.00%, 26.00%) were compared with the open group (12.00%, 20.00%, 34.00%) P>0.05. Age, tumor diameter, postoperative chemotherapy, and TNM staging were the risk factors for recurrence after laparoscopic radical gastrectomy (P<0.05).

Conclusion

Laparoscopic radical gastrectomy in patients with early gastric cancer can significantly shorten the treatment time, reduce the pain and reduce the recurrence rate in patients with gastric cancer. However, age, tumor diameter, postoperative chemotherapy, and TNM staging are important factors leading to postoperative disease recurrence in patients undergoing laparoscopic radical gastrectomy.

Key words: Stomach neoplasms, Laparoscopes, Gastrectomy, Laparotomy, Comparative effectiveness research, Recurrence, Risk factors

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