LAPAROSCOPIC SURGERY IN THE MANAGEMENT OF EARLY GASTRIC CANCER
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 18
Abstract
INTRODUCTION This study was performed to check Laparoscopic Surgery in the management of early Gastric Cancer. For that we choose laparoscopic and laparoscopic Assisted Gastrectomies for 119 cases. It was performed during the period from June 1996 to February 2002 in Kameda Medical Center, Kamogawa, Japan. Male and female ratio was 2.78:1. The age range was 48-88 years (65.5). MATERIALS AND METHODS 1. Laparoscopic Intragastric Mucosal Resection (LIMR). 2. Local Resection by Lesion Lifting Method (LLM). 3. Laparoscopy-Assisted Distal Gastrectomy (LADG). 4. Intragastric Mucosal Resection through laparotomy. RESULTS OF THIS STUDY AFTER USING SURGICAL TECHNIQUES ARE AS FOLLOWS- 1. The tear was successfully closed by intragastric hand suturing technique. 2. All the planned laparoscopic procedures were completed in all the cases and the operation was finished after the confirmation of tumor free margins on frozen section biopsy specimen. 3. All resected specimen underwent detailed histopathologic examination. Subsequent diagnosis includes stomach cancer in 106 cases, duodenal cancer in 1 case and stomach adenoma in 5 cases. 8cases of stromal tumors were resected laparoscopically. 4. We have not lost even a single patient in follow up or due to mortality. Five year follow up is present in the first year group. 5. 06 patients who were diagnosed with EGC have been successfully treated with 4 laparoscopic techniques at our institute from June 1996 to February 2002. CONCLUSION We, in our study had no mortality or local recurrence to date but our follow up is obviously too short to draw any conclusions. If patients are selected properly, we on the basis of our study propose that laparoscopic procedures are curative.1,2 When performed by a skilled surgeon, laparoscopic resection is a safe and useful technique in the management of Early Gastric Cancer.
Authors and Affiliations
Abhijit Sarma
Keywords
Related Articles
- EP ID EP233841
- DOI 10.18410/jebmh/2016/165
- Views 84
- Downloads 0
A RARE CASE: OHVIRA SYNDROME (OBSTRUCTED HEMIVAGINA AND IPSILATERAL RENAL ANOMALY) WITH UNICORNUATE UTERUS
PRESENTATION OF CASE A 50-year-old unmarried, nulligravida female patient presented with chronic dull aching abdominal pain predominantly in suprapubic region since past 4 months and loose stools since 1 month with histo...
BACTERIOLOGICAL PATTERN OF CHRONIC OSTEOMYELITIS- A RETROSPECTIVE STUDY
BACKGROUND Chronic osteomyelitis is an infective inflammation of bone. This is a common problem in a developing country like India. Out of various reasons like open fractures, surgical interferences, nearby sepsis, penet...
SUNSHINE VITAMIN
Vitamin is an organic chemical compound which can’t be synthesized in sufficient quantities by an organism and must be obtained from diet. Vitamin D is not essential dietary vitamin in strict sense. 8 It is synthesized i...
A STUDY OF CARDIAC DISEASES IN PATIENTS WITH CHRONIC KIDNEY DISEASE
BACKGROUND The heart and the kidneys are tightly interlinked with each other. So, primary disorder of one of these organs often results in the secondary dysfunction of other. The patients with CKD most of the times die f...
GLAUCOMA AWARENESS AMONG MEDICAL STUDENTS OF A MEDICAL COLLEGE IN NORTH INDIA
BACKGROUND In many parts of India Glaucoma patients present for Ophthalmology check-up when their disease is in advanced stage and at that point of time majority of their vision is already lost. There are many studies ad...