Relaparoscopy in the management of post-operative complications after minimally invasive gastrectomy for gastric cancer.

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Tytuł:: Relaparoscopy in the management of post-operative complications after minimally invasive gastrectomy for gastric cancer.
Autorzy:: Elmore U; Department of Gastrointestinal Surgery, San Raffaele Hospital, Milan, Italy.
Milone M; Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini n.5, 80131, Naples, Italy. .
Parise P; Department of Gastrointestinal Surgery, San Raffaele Hospital, Milan, Italy.
Velotti N; Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Cossu A; Department of Gastrointestinal Surgery, San Raffaele Hospital, Milan, Italy.
Puccetti F; Department of Gastrointestinal Surgery, San Raffaele Hospital, Milan, Italy.
Barbieri L; Department of Gastrointestinal Surgery, San Raffaele Hospital, Milan, Italy.
Vertaldi S; Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini n.5, 80131, Naples, Italy.
Milone F; Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
De Palma GD; Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini n.5, 80131, Naples, Italy.
Rosati R; Department of Gastrointestinal Surgery, San Raffaele Hospital, Milan, Italy.
Źródło:: Updates in surgery [Updates Surg] 2023 Feb; Vol. 75 (2), pp. 429-434. Date of Electronic Publication: 2022 Jul 26.
Typ publikacji:: Multicenter Study; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Milano : Springer-Verlag Italia
MeSH Terms:: Stomach Neoplasms*/surgery
Stomach Neoplasms*/etiology
Laparoscopy*/adverse effects
Laparoscopy*/methods
Humans ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Gastrectomy/adverse effects ; Gastrectomy/methods ; Reoperation/adverse effects ; Retrospective Studies ; Treatment Outcome
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Contributed Indexing:: Keywords: Gastric cancer; Minimally invasive surgery; Relaparoscopy
Entry Date(s):: Date Created: 20220726 Date Completed: 20230123 Latest Revision: 20230123
Update Code:: 20230123
PubMed Central ID:: PMC9852154
DOI:: 10.1007/s13304-022-01328-z
PMID:: 35882769
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Laparoscopy has already been validated for treatment of early gastric cancer. Despite that, no data have been published about the possibility of a minimally invasive approach to surgical complications after primary laparoscopic surgery. In this multicentre study, we describe our experience in the management of complications following laparoscopic gastrectomy for gastric cancer. A chart review has been performed over data from 781 patients who underwent elective gastrectomy for gastric cancer between January 1996 and July 2020 in two high referral department of gastric surgery. A fully descriptive analysis was performed, considering all the demographic characteristics of patients, the type of primary procedure and the type of complication which required reoperation. Moreover, a logistic regression was designed to investigate if either the patients or the primary surgery characteristics could affect conversion rate during relaparoscopy. Fifty-one patients underwent reintervention after elective laparoscopic gastric surgery. Among patients who received a laparoscopic reintervention, 11 patients (34.3%) required a conversion to open surgery. Recovery outcomes were significantly better in patients who completed the reoperation through laparoscopy. Relaparoscopy is safe and effective for management of complications following laparoscopic gastric surgery and represent a useful tool both for re-exploration and treatment, in expert and skilled hands.
(© 2022. The Author(s).)

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