Abstract
Ten patients who were diagnosed as early gastric cancer have been successfully treated with laparoscopy-assisted distal gastrectomy (LADG) at our institute from July 1998 to June 1999. Compairing the LADG group with another ten patients group who underwent conventional open distal gastrectomy (ODG), the various parameters such as operation time 258±42 min, 220±51 min; perioperative blood loss 110±87 ml, 342±238 ml, and size of the incision 5±2 cm, >15 cm, respectively, indicate that the LADG group is less invasive. On the other hand the post operative stay is approximately the same in both groups, but in regard to the post operative pain the LADG group is painless. All the patients in LADG group resulted in early gastric cancer without resional lymphnode metastasis and have been performed curative A operations. They are all alive and free from cancer recurrence. In conclusion, LADG will be the standard gastrectomy for gastic cancer in the near future.
