Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study
- 01.01.2014
Erschienen in:
- Verfasst von
- Eishi Nagai
- Kohei Nakata
- Kenoki Ohuchida
- Yoshihiro Miyasaka
- Shuji Shimizu
- Masao Tanaka
- Erschienen in
- Surgical Endoscopy | Ausgabe 1/2014
Abstract
Background
The benefits and feasibility of laparoscopic surgery for remnant gastric cancer are still unclear. The purpose of this study was to describe the detailed procedure and to evaluate the clinical short-term outcomes of laparoscopic total gastrectomy (LTG) compared with open total gastrectomy (OTG) for remnant gastric cancer (RGC).
Methods
Of 1,247 consecutive patients who underwent gastrectomy for gastric cancer in our department at Kyushu University Hospital from January 1996 to May 2012, 22 patients who underwent successful curative resection of RGC with precise nodal dissection were enrolled in this study. Twelve patients underwent LTG and the remaining ten patients underwent OTG. We analyzed the clinical short-term outcomes of LTG and compared the results between LTG and OTG groups to evaluate the safety and feasibility of LTG.
Results
Twelve patients with RGC successfully underwent LTG without open conversion and morbidity. The mean operation time of LTG, 362.3 ± 68.4 min, was significantly longer than that of OTG (p = 0.0176), but the mean blood loss of LTG, 65.8 ± 62 g, was smaller than that of OTG (p < 0.01). The mean postoperative times to resumption of water and food intake were significantly shorter in the LTG group than in the OTG group (p < 0.01). The overall 3-year survival rate was comparable between the LTG and OTG groups (77.8 vs. 100 %; p = 0.9406).
Conclusions
This study shows that LTG is a feasible and reliable procedure for the treatment of RGC in terms of short-term outcomes.
Anzeige
- Titel
- Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study
- Verfasst von
-
Eishi Nagai
Kohei Nakata
Kenoki Ohuchida
Yoshihiro Miyasaka
Shuji Shimizu
Masao Tanaka
- Publikationsdatum
- 01.01.2014
- Verlag
- Springer US
- Erschienen in
-
Surgical Endoscopy / Ausgabe 1/2014
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218 - DOI
- https://doi.org/10.1007/s00464-013-3186-y
Dieser Inhalt ist nur sichtbar, wenn du eingeloggt bist und die entsprechende Berechtigung hast.
