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Register a new userComparing Conventional and Laparoscopic Gastrectomy for Cancer
مقارنة بين استئصال المعدة بالجراحة التنظيرية و الجراحة التقليدية في معالجة سرطان المعدة
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حمود حامد( باحث )
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مقارنة عمليات استئصال المعدة التام والجزئي بالجراحة التنظيرية مع عمليات استئصال المعدة التام و الجزئي بالجراحة المفتوحة، و تحديد هل للجراحة التنظيرية دور مهم و أفضلية في عمليات استئصال المعدة.
To compare total and subtotal gastrectomy performed by laparoscopic technique with those performed by open surgery, and to determine whether laparoscopic surgery has an important role and advantages in gastric resection.
References used
Etoh T, Shiraishi N, Kitano S. Laparoscopic Gastrectomy for Cancer. Digestive Diseases 2005;23:113-118
Huscher CG, Mingoli A, Sgarzini G, et. Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five-year results of a randomized prospective trial. Ann Surg. 2005 Feb;241(2):232-7
Weber KJ, Reyes CD, Gagner M, et al. Comparison of laparoscopic and open gastrectomy for malignant disease. Surg Endosc. 2003 Jun;17(6):968-71
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This is s retrospective analytic study of 27 cases of esophagojejunal anastomotic leakage after gastrectomy for gastric cancer during the period 1\1\1997 -1\1\2014 at AL Assad University Hospital, Lattakia, Syria. The most common risk factors of lea
kage were: factors related to the patient: (age, sex, hemoglobin level, total protein level, and albumin level); factors related to surgical resection: (combined resection of other organs, mechanical and manual esophago-jejunostomy) and factors related to the tumor: (tumor stage, tumor location, and ends of anastomosis free of tumor)
Appendectomy is one most common procedure in emergency cases . laparoscopic
surgery has many features and development which lead courageously to appendectomy by
laparoscopic procedure.
This study was conducted on 60 patients who underwent laparosc
opic appendectomy
at Al-Assad university hospital between 2014-2016.
The average age of patients was 38 years – the proportion of meals was 58,3 % and
females was 61,4 %. The mean surgical operation time was 105 minutes .
Normal appendectomy proportion was 13,3 % . Acute appendectomy without
perforation was 75 % . The proportion for gangrenous appendectomy with perforation was
11,6 % ,
The proportion for conversions to open surgery was 16,6 % . Post operation
complications were as follows : wound infection : 6,66 % - intra abdominal abscess :5 % -
Bowel obstruction :1,66 % .
Analysis of the results revealed that the rates are within the internationally accepted
rates .
We concluded that this surgery is safe and has many features and a little
complications . We recommend applying this surgery in our hospitals .
This study was carried out in AL-ASSAD University Hospital during the years 2005-
2015, and included 56 patients who have been treated of gastric cancer. Male: Female ratio
was 1:1.85, the peak incidence was in the 6th and 7th decades 60%, the heig
hest incidence
was in lower third of stomach in 65% of cases. Adenocarcinoma (FUNGATING FORM)
was the most common pathological macroscopic form 45%,. The most common operation
was subtotal gastrectomy 71.05% with Omega, Brown anastomosis 52.63%, interiorly of
the colon, in the two third of cases.D1 dissection was performed in 92.1% of cases,
compared with D2 dissection which was performed in 6.9% of cases.Spleenectoy was
performed in 15.7% of cases, and the cholecystectomy was performed in 2.5% of
cases.Stage ɪɪ and stage ɪɪɪ constitute 90% of cases.
Objective: To determine the results of laparoscopic Heller myotomy with
complete or partial fundoplication for the treatment of achalasia and
evaluating its longterm benefits and complications.
The study was performed retrospectively and prospecti
vely,
including all patients with achalsia who where treated by laparoscopic
Heller myotomy with fundoplication in Al Assad University Hospital in
Damascus between 2005 and 2008.
تهدف الدراسة إلى إلقاء الضوء على نتائج الجراحة المفتوحة و الجراحة التنظيرية في
القطر العربي السوري. و من الجدير بالذكر أن هناك وسائل حديثة أهمها الرنين المغناطيسي؛
و لكن مجال دراستنا فقط المقارنة بين التنظير و الجراحة المفتوحة.
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