Digestive Surgery
Original Paper
Is Laparoscopy-Assisted Total Gastrectomy Feasible for the Treatment of Gastric Cancer? A Case-Matched StudyKim K.H. · Kim Y.M. · Kim M.C. · Jung G.J.Department of Surgery, Dong-A University College of Medicine, Busan, Korea
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Article / Publication Details
Received: May 08, 2013
Accepted: July 27, 2013
Published online: September 21, 2013
Issue release date: March 2014
Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 3
ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)
For additional information: https://www.karger.com/DSU
Abstract
Background: The aim of this study was to clarify the short- and long-term outcomes of laparoscopy-assisted total gastrectomy (LATG) for gastric cancer compared to conventional open total gastrectomy (COTG) with a case-control study. Methods: Between January 2002 and December 2010, a series of 264 patients with gastric cancer underwent R0 total gastrectomy (61 LATG patients and 203 COTG patients). Age, gender, and pathological stage were matched by propensity scoring, and 120 patients (60 LATG and 60 COTG) were selected for analysis. Results: There were no significant differences in the clinicopathological features between the two groups. Regarding postoperative outcomes, first flatus time was significantly shorter in the LATG group than in the COTG group (p < 0.001), while operation time was significantly longer in the LATG group than in the COTG group (p < 0.001). Postoperative complications occurred in 5 cases (8.3%) of the LATG group and in 11 cases (18.3%) of the COTG group (p = 0.178). There were two recurrences in the LATG group and three recurrences in the COTG group. There was no significant difference in the 5-year survival rate between the two groups (p = 0.667). Conclusions: LATG for gastric cancer may be both feasible and efficient compared to COTG for experienced laparoscopic surgeons. This study is valuable for a prospective randomized controlled trial of LATG for gastric cancer in a larger number of patients.
© 2013 S. Karger AG, Basel
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Article / Publication Details
Received: May 08, 2013
Accepted: July 27, 2013
Published online: September 21, 2013
Issue release date: March 2014
Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 3
ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)
For additional information: https://www.karger.com/DSU
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