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Saudi Journal of Medical and Pharmaceutical Sciences (SJMPS)
Volume-6 | Issue-04 | 349-352
Original Research Article
Comparision of Peri-Operative Findings between Proximal Laparoscopic Gastrectomyand Total Laparoscopic Gastrectomy for Proximal Gastric Cancer
Iqbal Masud Khan, Md. Zakir Hossain, Nishat Farhana Khan, Nabaneeta Sarker, Nayeem
Published : April 5, 2020
DOI : 10.36348/sjmps.2020.v06i04.003
Abstract
Introduction: Gastric Cancer is one of the major causes of cancer specific deaths worldwide and incidence of Proximal Gastric Cancer is increasing with time. Laparoscopic gastrectomy has increased in popularity in recent years due to lesser complications and higher functional preservation. Objective: To find out the Comparision of Peri-Operative Findings between Proximal Laparoscopic Gastrectomyand Total Laparoscopic Gastrectomy for Proximal Gastric Cancer. Methods: Between January 2018 and August 2019, a total of 77 patients underwent LPG with B1 reconstruction or LTG with Roux-en-Y (R-Y) reconstruction for gastric cancer in the proximl stomach in Marks medical College & Hospital, Dhaka, Bangladesh. LPG was performed in 15 cases with tumor located in the upper third of the stomach. The resection line in the stomach was kept at least 5 cm apart from the gastric angle. On the other hand, LTG was performed in 57 cases of proximal gastric cancer. Results: In this study we have compared the peri-operative findings of 72 patients with proximal gastric cancers who underwent tumor excision surgery and were diveded into two groups according to different surgical approach; Laparoscopic Proximal Gastrectomy and Laparoscopic Total Gastrectomy. After statistical analysis, no significant differences were found in peri-operative outcomes between two groups. Prospective studies with larger sample size are required to validate the findings of this study. Conclusion: We found that there are no any significant differences in peri-operative findings between Laparoscopic Proximal Gastrectomy and Laparoscopic total gastrectomy surgical approach for proximal gastric cancer.
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