Gasless laparoscopy-assisted distal gastrectomy for early XXXX : analysis of initial results.

@entity1 @entity5 @entity190 @entity344 @entity1286 @entity158 @entity282 @entity356
BACKGROUND: Laproscopic surgery is widely used in treating @entity344 . This study investigated the clinical result, short-term outcomes, and cost analysis of the newly developed gasless laparoscopy-assisted distal gastrectomy (GLADG) and compared it with conventional open distal gastrectomy (ODG). METHODS: Seventy-five @entity1 underwent distal gastrectomy with radical lymph node dissection for early @entity356 from December 2005 to January 2008. Thirty-one @entity1 underwent GLADG and 44 underwent ODG. @entity282 , @entity1286 use, disease-free and overall survival, and surgical and hospital costs were measured postoperatively and compared between the two groups. RESULTS: @entity1 in the two groups were comparable by age, sex, body mass index, @entity5 size, @entity5 location, @entity5 staging, and operative time. The GLADG group had early start of oral intake and shorter postoperative hospital stay (P   <   .05). There was less morphine use from postoperative day 1 to 4 in the GLADG group than in the ODG group (P   <   .05), and body temperature from postoperative day 1 to 2 was lower in the GLADG than in the ODG group (P   <   .05). Cost analysis showed that operation cost (100,242        5385 versus 36,455        1419) and equipment cost (65,909        5385 versus 2122        1419) was higher in the GLADG group, but its total hospital cost (193,552        12,715 versus 206,676        41,920) was lower than in the ODG group (P   <   .05). The 2-year disease-free and overall survival rates were not different between the two groups. CONCLUSIONS: GLADG is feasible for early @entity356 . It is advantageous because of @entity158 , less postoperative inflammatory response, less @entity190 , and shorter total hospital stay while achieving the same oncologic results as ODG.
