Our Summary

This research paper focuses on the analysis of the results of a surgical procedure called laparoscopic distal gastrectomy, which is used to treat patients with distal gastric cancer (cancer at the lower part of the stomach).

21 patients, with an average age of 63.7 years, underwent this procedure. Most of the patients (90%) were in the early stage of cancer (stage 1), while a small percentage (10%) were in stage 2a.

The surgery took on average about 190.4 minutes with an average blood loss of 90.3 milliliters. On average, around 21.2 lymph nodes were removed during the surgery. The researchers managed to achieve what’s called “R0 resection” in all patients, which means they were able to remove all visible cancer.

On average, patients stayed in hospital for about 7.6 days and around 23.8% of patients experienced complications after the surgery. Serious complications occurred in 9.5% of the patients. Sadly, one patient (4.7%) passed away after the surgery. Importantly, none of the patients showed progression of their cancer during the follow-up period, which has been ongoing since May 2018. To this date, the longest follow-up has been 25 months.

The researchers concluded that this type of surgery is an effective treatment for distal gastric cancer, as it allows the complete removal of the cancer in most cases.

FAQs

  1. What is laparoscopic distal gastrectomy and what is it used for?
  2. What were the main findings of this research on laparoscopic distal gastrectomy for distal gastric cancer?
  3. What percentage of patients experienced complications after the surgery, and what was the mortality rate?

Doctor’s Tip

One helpful tip a doctor might tell a patient about gastrectomy is to follow a strict post-operative diet plan. This may include starting with liquids and gradually progressing to soft foods and then solid foods as tolerated. It is important to eat small, frequent meals to prevent dumping syndrome and to avoid certain foods that may cause discomfort or complications. Following a healthy and balanced diet will help with recovery and overall well-being after gastrectomy surgery. Additionally, it is important to stay hydrated and to take any prescribed medications as directed by your healthcare provider. Regular follow-up appointments with your medical team are also crucial for monitoring progress and addressing any concerns or complications that may arise.

Suitable For

Patients who are typically recommended for gastrectomy are those with distal gastric cancer, especially those in the early stages of the disease. This procedure may also be recommended for patients with advanced stages of gastric cancer, depending on the specific circumstances of their case. Additionally, patients who are fit for surgery and do not have any significant comorbidities may be considered suitable candidates for gastrectomy.

Timeline

Before the gastrectomy:

  • Patient is diagnosed with distal gastric cancer
  • Patient undergoes pre-operative evaluations and tests to determine the stage of the cancer
  • Surgical team discusses the procedure, risks, and benefits with the patient
  • Patient may undergo chemotherapy or radiation therapy before surgery to shrink the tumor

After the gastrectomy:

  • Patient undergoes laparoscopic distal gastrectomy surgery
  • Average surgery time is 190.4 minutes with an average blood loss of 90.3 milliliters
  • Average hospital stay is 7.6 days
  • 23.8% of patients experience complications post-surgery, with 9.5% experiencing serious complications
  • One patient (4.7%) passes away after the surgery
  • None of the patients show progression of cancer during the follow-up period, with the longest follow-up being 25 months
  • Researchers conclude that laparoscopic distal gastrectomy is an effective treatment for distal gastric cancer, as it allows for complete removal of the cancer in most cases

What to Ask Your Doctor

Some questions a patient should ask their doctor about gastrectomy include:

  1. What are the potential risks and complications associated with gastrectomy surgery?
  2. What is the expected recovery time after gastrectomy surgery?
  3. How will my diet and eating habits need to change after gastrectomy surgery?
  4. Will I need any additional treatments, such as chemotherapy or radiation therapy, after gastrectomy surgery?
  5. What are the long-term outcomes and prognosis for patients who undergo gastrectomy surgery?
  6. How often will I need to follow-up with my doctor after gastrectomy surgery?
  7. Are there any support groups or resources available for patients who have undergone gastrectomy surgery?
  8. What can I expect in terms of pain management and post-operative care after gastrectomy surgery?
  9. Will I need to make any lifestyle changes or adjustments after gastrectomy surgery?
  10. Are there any specific warning signs or symptoms I should watch out for after gastrectomy surgery?

Reference

Authors: Postolov MP, Kovalenko NV, Zhavoronkova VV, Panin SI, Tolstopyatov SE, Ivanov AI. Journal: Khirurgiia (Mosk). 2021;(8):34-38. doi: 10.17116/hirurgia202106134. PMID: 34363443