Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Limited data exists on the feasibility, safety, and outcomes of Hand-assisted laparoscopic D2 radical gastrectomy (HALG).
• Benefits and comparative outcomes of HALG versus traditional laparoscopy-assisted D2 radical gastrectomy (LAG) remain undefined.

Purpose of the Study:

• To conduct a comprehensive comparative analysis of Hand-assisted laparoscopic D2 radical gastrectomy (HALG) versus laparoscopy-assisted D2 radical gastrectomy (LAG).
• To evaluate intraoperative and postoperative data to define the benefits and safety of HALG.

Main Methods:

• Comparative analysis of general, intraoperative, and postoperative data between the HALG and LAG groups.
• Statistical evaluation of key surgical and patient outcome metrics.

Main Results:

• No significant differences in general data, blood loss, or unexpected injuries between HALG and LAG.
• HALG showed significantly shorter operative times, smaller incision lengths, and fewer postoperative complications than LAG.
• Similar recovery times, pain scores after day 2, reoperation rates, and 30-day hospital/readmission rates were observed for both groups.

Conclusions:

• Hand-assisted laparoscopic D2 radical gastrectomy (HALG) is a safe and effective minimally invasive approach for gastric cancer.
• HALG presents comparable radicality to laparoscopy-assisted D2 radical gastrectomy (LAG) but with enhanced safety profiles and improved operative outcomes.