Yb. Choi et al., Laparoscopic gastrojejunostomy for palliation of gastric outlet obstruction in unresectable gastric cancer, 7TH WORLD CONGRESS OF ENDOSCOPIC SURGERY, 2000, pp. 335-339
Seventy-eight gastrojejunostomies were done at the Asan Medical Center for
palliation of gastric outlet obstruction caused by advanced gastric, duoden
al, papilla of vater and pancreatic cancer. Sixty-eight patients with advan
ced gastric cancer underwent open gastrojejunostomy (OGJ, n=38) and laparos
copic gastrojejunostomy (LGJ, n=30). Of those ten OGJ patients were compare
d with ten LGJ for several variables.
There were no significant differences between OGJ and LGJ in gender, age, A
SA grading, and previous abdominal surgery. In OGJ, antecolic isoperistalti
c GJ was done in ten cases, but eight antecolic and two retrocolic were don
e in LGJ with no conversion to open surgery.
Operating time (113.5+/-11.2 minutes versus 107.5+/-14.2 minutes), painkill
er consumption (540+/-123.2 mg versus 430+/-58.2 mg) and post;operative hos
pital stay (12.5+/-3.9 days versus 8.5+/-2.9 days) was report,ed respective
ly.
Serum WBC and cortisol levels were slightly increased in both groups during
preoperative and postoperative day one and three. Serum ESR, TNF-alpha and
IL-6 levels were significantly increased in OGJ groups. Postoperative comp
lications (nine in OGJ, two in LGJ) and postoperative death (one in each gr
oup) occurred. During the follow-up period (3 similar to 23 months), there
was one case of readmission in each group due to anemia and generalized pai
n.