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Updated: May 20, 2026
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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
[Hand-assisted laparoscopic radical gastrectomy: comparison between laparoscopic and open approach]
Yong-kuan Cao1, Li-ye Liu, Jun Zhou
1Department of Gastrointestinal Surgery, Chengdu Military General Hospital, Chengdu, China. caoyok@163.com
Summary
Hand-assisted laparoscopic gastrectomy (HG) offers comparable short-term outcomes to traditional methods for gastric cancer resection. HG facilitates easier lymph node dissection, making it a viable alternative surgical approach.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Gastric cancer necessitates surgical intervention, with radical gastrectomy being a standard treatment.
- Laparoscopic and open surgical approaches have been employed for gastrectomy.
- Hand-assisted laparoscopy presents a hybrid technique for complex abdominal procedures.
Purpose of the Study:
- To evaluate the short-term surgical outcomes of hand-assisted laparoscopic radical gastrectomy.
- To compare hand-assisted laparoscopy with conventional laparoscopy and open gastrectomy.
Main Methods:
- A comparative study involving 15 patients undergoing hand-assisted laparoscopic gastrectomy (HG), 16 undergoing laparoscopic gastrectomy (LP), and 11 undergoing open gastrectomy (OP).
- Data collected included operative time, estimated blood loss, lymph nodes harvested, and incision length.
- Postoperative complications were monitored.
Main Results:
- HG demonstrated an average incision length of 6.8 cm, significantly smaller than open gastrectomy (13.5 cm).
- Average estimated blood loss was lower in HG (228 ml) compared to LP (278 ml) and OP (427 ml).
- No significant differences in operative time or lymph node yield were observed; HG facilitated easier lymph node dissection.
Conclusions:
- Hand-assisted laparoscopic gastrectomy aligns with standard treatment protocols for gastric cancer.
- HG is a safe and effective alternative for radical gastric cancer resection, particularly due to enhanced lymph node dissection.
- Further research may explore long-term oncological outcomes.
