Laparoscopy Assisted Distal Gastrectomy for Cancer at a Tertiary Center in Egypt. Is It Safe and Feasible?
| العنوان: | Laparoscopy Assisted Distal Gastrectomy for Cancer at a Tertiary Center in Egypt. Is It Safe and Feasible? |
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| المؤلفون: | Anwar Tawfik Amin, Ahmed A. S. Salem, Hussein Fakhry, Murad A. Jabir |
| المصدر: | Journal of Cancer Therapy. :1179-1186 |
| بيانات النشر: | Scientific Research Publishing, Inc., 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Surgical margin, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Distal gastrectomy, Cancer, Pylorus, medicine.disease, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, 030220 oncology & carcinogenesis, medicine, 030211 gastroenterology & hepatology, Gastrectomy, Stage (cooking), Laparoscopy, business, Developed country |
| الوصف: | Background: Laparoscopic radical gastrectomy for cancer has significant short- and long-term advantages. The feasibility and safety of laparoscopicdistal gastrectomy for cancer (LADG) is unclear in low to middle income countries as resources are limited. Therefore, the aim of this study was to evaluate the safety and feasibility of (LADG) in low to middle income countries; Egypt as an example. Methods: Thirty four Patients with stage I-II cancer at the pylorus and antrum have been enrolled for LADG between 2012 and 2015 with the reuse of single use vascular sealing device has been evaluated. Results: Finally 27 patients had been included in the study and successful LADG has been done for all selected cases. The average operative time was 151 ± 10 minutes. The average estimated blood loss was 73.3 ± 13 ml. No intra-operative complications have been recorded. The average time for post-operative patient ambulation was 9 hours (SD ± 1.8) and for oral fluid intake was 3.5 SD ± 1 days. The average duration of the hospital stay was 9.3 ± 1.2 days. The average number of retrieved lymph nodes was 21.7 ± 3.8 days. All the cases had free surgical margin. The median number of reuse of the vascular sealing device was 3.8 times (3 - 5 times). Conclusion: Laparoscopic distal gastrectomy for cancer could be safe and feasible in developing countries and give similar results for that of developed countries. Safe reuse of single use expensive parts of some instruments for laparoscopy could help in utilization of these advanced surgeries in low to middle income countries. Long term follow up as well as comparative studies with open surgery are required. |
| تدمد: | 2151-1942 2151-1934 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::cd7f8492c7c59cb56ecfdd1305ce54b4 https://doi.org/10.4236/jct.2017.813101 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........cd7f8492c7c59cb56ecfdd1305ce54b4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21511942 21511934 |
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