Laparoscopic assisted distal gastrectomy for early gastric cancer: Five years' experience

Laparoscopic assisted gastrectomy is being reported increasingly as the treatment of choice for early gastric cancer. However, no reports concerning the prognosis of patients who have undergone laparoscopic assisted distal gastrectomy (LADG) for early gastric cancer or data comparing the results to...

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Bibliographic Details
Published in:Surgery 2005-03, Vol.137 (3), p.317-322
Main Authors: Mochiki, Erito, Kamiyama, Youichi, Aihara, Ryusuke, Nakabayashi, Toshihiro, Asao, Takayuki, Kuwano, Hiroyuki
Format: Article
Language:English
Subjects:
Biological and medical sciences
Digestive system. Abdomen
Early Diagnosis
Endoscopy
Female
Gastrectomy - methods
General aspects
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy
Male
Medical sciences
Middle Aged
Retrospective Studies
Stomach Neoplasms - diagnosis
Stomach Neoplasms - mortality
Stomach Neoplasms - surgery
Survival Rate
Treatment Outcome
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Summary:Laparoscopic assisted gastrectomy is being reported increasingly as the treatment of choice for early gastric cancer. However, no reports concerning the prognosis of patients who have undergone laparoscopic assisted distal gastrectomy (LADG) for early gastric cancer or data comparing the results to those obtained after open gastric surgery are yet available. A retrospective study was performed comparing laparoscopic assisted and open distal gastrectomies for early gastric cancer. Eighty-nine patients who underwent LADG were compared to 60 who underwent conventional open distal gastrectomy (DG) in terms of pathologic findings, operative outcome, complications, and survival. There were no significant differences between LADG and DG in operation time (209 vs 200 minutes), complication rate (9% vs 18%), and 5-year survival rate (98% vs 95%). There were differences between LADG and DG with regard to blood loss (237 vs 412 mL), number of lymph nodes (19 vs 25), postoperative stay (17 vs 25 days), and the duration of epidural analgesia (2 vs 4 days) ( P < .05 each). For properly selected patients, LADG can be a curative and minimally invasive treatment for early gastric cancer.
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2004.10.012