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العنوان
Laparoscopy assisted treatment of gastric tumours /
المؤلف
Abouzid, Amr Ahmed Mohamed.
هيئة الاعداد
مشرف / عمرو أحمد محمد أبوزيد
مشرف / أحمد السعيد ستيت
مشرف / شريف زكى قطب
مشرف / فايز شحتو محمود
مشرف / خالد صفوت السيد فهمى
مشرف / أشرف ممدوح شومة
الموضوع
Gastric tumours. Gastrointestinal system - Surgery. Stomach - Surgery. Laparoscopic gastrectomy.
تاريخ النشر
2017.
عدد الصفحات
207 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
01/05/2017
مكان الإجازة
جامعة المنصورة - كلية الطب - Department of General Surgery
الفهرس
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Abstract

Background: Laparoscopic treatment of gastric tumours has spread rapidly in the last two decades and has become a standard minimally invasive technique for early & advanced gastric tumours with less blood loss, postoperative (PO) pain, early recovery, earlier return of the bowel function with oral intake and shorter hospital stay.
Methods: Twenty five patients with gastric tumours were enrolled in this study during a period between September 2014 and July 2017 (a total of 34 months) in Oncology Center Mansoura University (OCMU), Egypt. In this prospective descriptive study, 13 patients had a total laparoscopic treatment & 12 patients had a laparoscopic assisted treatment for gastric tumours. The outcomes of the study included the estimation of the operative duration, the amount of blood loss, the start of oral intake, the time of ambulation, the operative and postoperative complications and the duration of hospital stay.Results: The overall operative time had a mean of 256.4±115.4 minutes (Range: 60 – 420 minutes), the amount of blood loss had a mean of 51.6±30.54 ml (Range: 5 – 110 ml), the overall ICU stay had a mean of 0.36±1.04 days. All patients were ambulated successfully on the first postoperative day (mean: 0.60±0.76 days), the start of oral intake had a mean of 4.17±2.48 days postoperatively while hospital stay had a mean of 7.72±3.37 days.Conclusion: Laparoscopic treatment of gastric tumours is considered a feasible approach for gastric tumours with better abdominal assessment for the presence of peritoneal disease with added advantages of less blood loss, so less rate of blood transfusion, more harvested lymph nodes, less incidence of postoperative morbidity and short hospital stay.