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Tytuł pozycji:

A comparative study of totally laparoscopic distal gastrectomy versus laparoscopic-assisted distal gastrectomy in gastric cancer patients: Short-term operative outcomes at a high-volume center.

Tytuł :
A comparative study of totally laparoscopic distal gastrectomy versus laparoscopic-assisted distal gastrectomy in gastric cancer patients: Short-term operative outcomes at a high-volume center.
Autorzy :
Han WH; Center for Gastric Cancer, National Cancer Center, Goyang 410-769, Republic of Korea.
Yehuda AB; Department of Surgery, Assaf Harofeh Medical Center, Zerifin 70300, Israel.
Kim DH; Center for Gastric Cancer, National Cancer Center, Goyang 410-769, Republic of Korea.
Yang SG; Center for Gastric Cancer, National Cancer Center, Goyang 410-769, Republic of Korea.
Eom BW; Center for Gastric Cancer, National Cancer Center, Goyang 410-769, Republic of Korea.
Yoon HM; Center for Gastric Cancer, National Cancer Center, Goyang 410-769, Republic of Korea.
Kim YW; Center for Gastric Cancer, National Cancer Center, Goyang 410-769, Republic of Korea.
Ryu KW; Center for Gastric Cancer, National Cancer Center, Goyang 410-769, Republic of Korea.
Pokaż więcej
Źródło :
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu [Chin J Cancer Res] 2018 Oct; Vol. 30 (5), pp. 537-545.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: Beijing, China : Beijing Institute for Cancer Research, [1988-
References :
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Contributed Indexing :
Keywords: Distal gastrectomy; gastric cancer; intracorporeal anastomosis; laparoscopic surgery
Entry Date(s) :
Date Created: 20181205 Latest Revision: 20201001
Update Code :
20211105
PubMed Central ID :
PMC6232361
DOI :
10.21147/j.issn.1000-9604.2018.05.07
PMID :
30510365
Czasopismo naukowe
Objective: Laparoscopic gastrectomy has been established as a standard treatment for early gastric cancer, and its use is increasing recently. Compared with the conventional laparoscopy-assisted distal gastrectomy (LADG), totally laparoscopic distal gastrectomy (TLDG) involves intracorporeal reconstruction, which can avoid the additional incision, resulting in pain reduction and early recovery. This study aimed to compare the short-term postoperative outcomes of TLDG vs. LADG in gastric cancer in a high-volume center.
Methods: A retrospective cohort study was conducted on 1,322 patients who underwent laparoscopic distal gastrectomy from June 2012 to June 2017 at the National Cancer Center, Korea. LADG was performed in the early period before July 2015, and TLDG was applied in the later period. Postoperative short-term outcomes were compared in terms of complication and clinical course between the two groups. Pain score was measured by rating the pain intensity from 0 to 10 points on postoperative day (POD) 1 and 3.
Results: A total of 667 patients underwent LADG and 655 patients underwent TLDG. Clinicopathologic characteristics were not different in both groups. Intraoperative estimated blood loss (EBL) was significantly lower in the TLDG group (P<0.001). Postoperative pain scores were significantly lower in the TLDG group than in the LADG group on POD 1 (5.1±1.5 vs. 4.8±1.4, P=0.015). First flatus passage after operation was significantly earlier in the TLDG group (3.4±0.8 d vs. 3.2±0.6 d, P<0.001). There were no differences in postoperative complications and hospital stay between the two groups.
Conclusions: Based on the reported short-term postoperative outcomes, TLDG is safe and feasible as well as LADG. Moreover, compared with LADG, TLDG can reduce intraoperative EBL and postoperative pain and enhance the bowel motility in gastric cancer surgery.

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