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Comparison of long-term outcomes of laparoscopy-assisted and open distal gastrectomy for early gastric cancer
- Comparison of long-term outcomes of laparoscopy-assisted and open distal gastrectomy for early gastric cancer
- Lee J.-H.; Yom C.-K.; Han H.-S.
- Ewha Authors
- SCOPUS Author ID
- Issue Date
- Journal Title
- Surgical Endoscopy and Other Interventional Techniques
- vol. 23, no. 8, pp. 1759 - 1763
- SCI; SCIE; SCOPUS
- Backgroud: Application of laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer (EGC) is still controversial because of scant evidence of long-term safety and feasibility. We evaluated the long-term outcome of LADG compared with conventional open distal gastrectomy (ODG) for EGC. Methods: Between March 1999 and July 2006, 106 patients underwent LADG and 105 patients underwent ODG for EGC. Clinicopathologic characteristics, postoperative outcomes, hospital course, postoperative morbidity, postoperative mortality, and long-term outcomes, including cancer recurrence and survival, were retrospectively compared between the two groups. Survival of all patients was confirmed with 55-month median follow-up. Results: Postoperative recovery was significantly faster in the LADG group; passing flatus occurred earlier, starting a liquid diet began sooner, and postoperative hospital stay was shorter (p < 0.05). Mean operation time was significantly longer in the LADG group. Postoperative complications in the LADG group occurred less frequently compared with in the ODG group (4.7% versus 13.3%, p = 0.046). Tumor recurrence occurred in two cases (0.9%) and death related to recurrence occurred in only one patient (0.5%). Overall 5-year survival rate (5-YSR) of all patients was 95.5%, while disease-specific 5-YSR was 98.8%. There was no significant difference in survival rates between the two groups; overall 5-YSR of the ODG and LADG groups was 94.9% and 95.9%, respectively. Conclusions: Our data suggest that LADG for EGC is feasible and safe. We expect the results of the present study to be confirmed by prospective randomized analysis. © 2008 Springer Science+Business Media, LLC.
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