L. Zou1, B. Zheng1, L. Zou1 1Guangdong Provincial Hospital Of Chinese Medicine,Department Of Gastrointestinal Surgery,Guangzhou, GUANGDONG, China
Introduction:
This study was aimed to compare the safety, feasibility and short-term effects of Laparoscopic bursectomy and D2 radical gastrectomy(LBDRG) with those of laparoscopic D2 radical gastrectomy (LDRG) in advanced gastric cancer (AGC).
Methods:
We retrospectively analyzed data on 68 consecutive patients undergoing LBDRG via an outside bursa omentalis approach (OBOA) from August 2012 to December 2014. The surgical outcomes of patients who underwent LBDRG were matched and compared with those of patients who underwent classic LDRG in our department at the same time.
Results:
The clinicopathological characteristics were similar between the two groups following matching. Although the mean operative time was longer in the LBDRG group than in the LDRG group (323.4±20.70 min vs. 288.5±21.76 min; p<0.05), the number of lymph nodes dissected was significantly greater in the LBDRG group than in the LDRG group (30.49±5.41 vs. 23.2±4.87; p<0.05). Additionally, there was no significant difference in the rate of local recurrence or metastases within the median two-year follow-up between the LBDRG group (5.9% [4/68]) and the LDRG group (8.8% [6/68]).
Conclusion:
These results suggested that this technique is technically safe and feasible for AGC patients, and the short-term oncological effects are equal to those of LDRG.