29. The methods and principles assistant should master during laparoscopy-assisted radical gastrectomy
Objective: Study the methods and principles which the assistant
should master in the operation of laparoscopy-assisted radical
gastrectomy (LARG).
Methods: Choose 143 gastric cancer patients in Southwest
Hospital, Third Military Medical University. The same operation
group performed 87 laparoscopy-assisted radical distal
gastrectomy (LARDG), 12 laparoscopy-assisted radical proximal
gastrectomy (LARPG) and 41 laparoscopy-assisted radical total
gastrectomy (LARTG). Analysed the operation process, reasons
of converting open operation and reasons of complications
during operation. Proposed the problems which the assistant
should pay attention during operation.
Results: 140 patients were successfully performed LARG, 3 patients
were converted to open. The complications during operation were
bleeding [10], which was the most one, and mistake damage.
Conclusions: The role of assistant is very important during LARG,
should master some methods and principles to help operator.
Key words
Operation; laparoscopy; gastric cancer; assistant