Original Article


The technical characteristics and clinical analysis of laparoscopic bursectomy for advanced gastric cancer

Liao-Nan Zou, Bei-Shi Zheng, Peng-Fei Liu, Jin Wan

Abstract

Background: Bursectomy is a mature procedure in open radical gastrectomy in eastern countries such as Japan, Korea and China. However, laparoscopic bursectomy is technically demanding because it is not liable to expose the complicated gastric anatomy under laparoscopy. The objective is to analyze technical characteristics and clinical experience of laparoscopic bursectomy for advanced gastric cancer.
Methods: From the year of 2010, we carried out the clinical research of laparoscopic bursectomy as well as D2 lymphadenectomy for advanced gastric cancer. According to retrospectively studying the clinicopathologic characteristics of these cases, we analyze the technical characteristics and clinical experience of laparoscopic bursectomy for advanced gastric cancer.
Results: There are 73 cases have been successfully performed the procedure in our center. The mean operation time was 223.5±38.6 min and the blood loss was 165.0±27.3 mL respectively. The number of lymph nodes dissected was 28.3±4.1. The overall percentage of postoperative complications related to operation was 11.7%.
Conclusions: The laparoscopic bursectomy in radical gastrectomy is technically safe and feasible.

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