Milind Shrotri
Milind Shrotri Milind Shrotri
LAPAROSCOPIC GASTRIC SURGERY MR. MILIND S. SHROTRI MBBS, MS, FRCS, MD Consultant Surgeon in Upper GI and Laparoscopic Surgery University Hospitals Aintree, Liverpool, UK.
- Page 2 and 3: Introduction • Laparoscopic gastr
- Page 4 and 5: Advantages Magnified and improved
- Page 6 and 7: Methods • Mixed retrospective ana
- Page 8: Case Distribution (n=42) Total D2 G
- Page 12: GIST - Gastro-Intestinal Stromal Tu
LAPAROSCOPIC GASTRIC<br />
SURGERY<br />
MR. MILIND S. SHROTRI<br />
MBBS, MS, FRCS, MD<br />
Consultant Surgeon in Upper GI and Laparoscopic Surgery<br />
University Hospitals Aintree, Liverpool, UK.
Introduction<br />
• Laparoscopic gastric surgery is gaining popularity<br />
worldwide<br />
• Not only for benign gastric lesions but also for<br />
gastric cancers<br />
• Several studies have shown the safety and feasibility<br />
of this minimal invasive technique<br />
• Adequacy of lymphadenectomy as compared to open<br />
surgery has been proved beyond doubt
Advantages<br />
Magnified and improved vision– Aids surgery<br />
Less postoperative pain – Faster Recovery<br />
Shorter Hospital Stay<br />
Better short-term term outcomes
Advantages<br />
Magnified and improved vision– Aids surgery<br />
Less postoperative pain – Faster Recovery<br />
Shorter Hospital Stay<br />
Better short-term term outcomes<br />
Limitations<br />
Needs dedicated equipment and surgical expertise<br />
Specialist team approach<br />
Needs more evidence on long term/oncological<br />
outcomes
Aim<br />
Audit of initial experience in laparoscopic<br />
gastric surgery at UHA
Methods<br />
• Mixed retrospective analysis from a single surgical<br />
unit<br />
• Period: April 2005 to June 2009<br />
• 42 patients underwent laparoscopic gastric surgery<br />
• Mixed selection criteria applied<br />
• Mortality/morbidity & stay studied
Results<br />
• All 42 patients underwent laparoscopic<br />
procedures successfully with no<br />
conversion to open surgery
Case Distribution (n=42)<br />
Total D2<br />
Gastrectomy<br />
(15)<br />
Distal D2<br />
Gastrectomy<br />
(13)<br />
Intragastric<br />
Wedge resection<br />
(3)<br />
Wedge<br />
Gastrectomy<br />
(3)<br />
Distal<br />
Gastrectomy<br />
(3)<br />
Distal D1<br />
Gastrectomy<br />
(4)<br />
Proximal D2<br />
Gastrectomy<br />
(1)
GIST – Gastro-Intestinal Stromal Tumour
GIST – Gastro-Intestinal Stromal Tumour
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