Abstract: Objective:To investigate the clinical efficacy of threedimensional (3D) laparoscopic resection for gastric stump cancer.
Methods:The retrospective crosssectional study was conducted. The clinicopathological data of 20 patients who underwent 3D laparoscopic resection for gastric stump cancer in the Henan Provincial People′s Hospital between January 2015 and January 2018 were collected. All patients were diagnosed as malignant tumors through gastroscopy and pathological examination before operation, and underwent 3D laparoscopic resection for gastric stump cancer and lymph node dissection according to Japanese Classification of Gastric Carcinoma (ver. 14). Observation indicators: (1) intra and postoperative recovery situations; (2) followup and survival situations. Followup using outpatient examination and telephone interview was performed to detect postoperative survival and tumor recurrence up to March 2018. Measurement data with normal distribution were represented as ±s. Measurement data with skewed distribution were described as M (range).
Results:(1) Intra and postoperative recovery situations: of 20 patients with gastric stump cancer, 14 underwent 3D laparoscopic radical resection for gastric stump cancer (R_o resection and negative resection margin), 4 underwent 3D laparoscopic palliative resection for gastric stump cancer and 2 were converted to open palliative resection for gastric stump cancer. Operation time, volume of intraoperative blood loss, number of lymph node dissected, time for postoperative outofbed activity, time to initial anal exsufflation, time for postoperative semifluid diet intake, duration of hospital stay and treatment expenses in 18 patients were (195±60)minutes, (105±85)mL, 20±8, (1.6±0.8)days, (3.0±1.0)days, (5.5±1.8)days, (8.0±2.8)days and (5.5±1.5)×10⁴ yuan, respectively. There was no surgeryrelated complication. (2) Followup and survival situations: of 20 patients, 18 were followed up for 2-36 months, with a median time of 18 months. During the followup, 6 patients died, including 2 dying of liver metastases and 4 dying of peritoneal metastases, 12 had good conditions.
Conclusion:3D laparoscopic resection for gastric stump cancer is safe and effective.