Comparison of short- and long-term outcomes following laparoscopy and open total gastrectomy for gastric cancer : a propensity score-matched analysis
AJTR Copyright © 2020..
BACKGROUND: The aim of this study was to compare the short- and long-term outcomes of laparoscopic total gastrectomy (LTG) with those of open total gastrectomy (OTG) for the upper part of clinical Stage I gastric cancer.
METHODS: Between 2000 and 2015, 122 and 96 consecutive gastric cancer patients who had undergone curative LTG and OTG with lymphadenectomy were enrolled in the study. We performed the simple intracorporeal techniqueof esophagojejunostomy using a circular stapler in LTG. This technique comprised of laparoscopic trans-abdominal anvil insertion into the esophagus, which was assisted by lifting up the nasogastric tube connected to the anvil head.
RESULTS: By the Clavien-Dindo classification defined as grade II or high, the rate of postoperative complications was 14.8% (14/112: Grade II (7), IIIa (4), and IIIb (3)) in LTG and 15.6% (15/96) in OTG. There was no anastomotic leakage (0% (0/122)) and only 3.3% (4/122) of anastomotic stenosis in LTG. There was no significant difference in the short-term outcomes between both groups in all enrolled and propensity score-matched patients (LTG vs. OTG: 15.4% (10/65) vs. 16.9% (11/65)). Regarding the long-term outcomes, there was no significant difference in overall survival between both groups in all enrolled (P = 0.190) and propensity score-matched patients (P = 0.643).
CONCLUSIONS: LTG for the upper part of clinical Stage I gastric cancer is a safe and reliable procedure and could have similar short- and long-term outcomes as OTG.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
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| Enthalten in: |
American journal of translational research - 12(2020), 5 vom: 15., Seite 2225-2233 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Komatsu, Shuhei [VerfasserIn] |
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| Themen: |
Complication |
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| Anmerkungen: |
Date Revised 28.09.2020 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM310887070 |
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| 100 | 1 | |a Komatsu, Shuhei |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of short- and long-term outcomes following laparoscopy and open total gastrectomy for gastric cancer |b a propensity score-matched analysis |
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| 500 | |a Date Revised 28.09.2020 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a AJTR Copyright © 2020. | ||
| 520 | |a BACKGROUND: The aim of this study was to compare the short- and long-term outcomes of laparoscopic total gastrectomy (LTG) with those of open total gastrectomy (OTG) for the upper part of clinical Stage I gastric cancer | ||
| 520 | |a METHODS: Between 2000 and 2015, 122 and 96 consecutive gastric cancer patients who had undergone curative LTG and OTG with lymphadenectomy were enrolled in the study. We performed the simple intracorporeal techniqueof esophagojejunostomy using a circular stapler in LTG. This technique comprised of laparoscopic trans-abdominal anvil insertion into the esophagus, which was assisted by lifting up the nasogastric tube connected to the anvil head | ||
| 520 | |a RESULTS: By the Clavien-Dindo classification defined as grade II or high, the rate of postoperative complications was 14.8% (14/112: Grade II (7), IIIa (4), and IIIb (3)) in LTG and 15.6% (15/96) in OTG. There was no anastomotic leakage (0% (0/122)) and only 3.3% (4/122) of anastomotic stenosis in LTG. There was no significant difference in the short-term outcomes between both groups in all enrolled and propensity score-matched patients (LTG vs. OTG: 15.4% (10/65) vs. 16.9% (11/65)). Regarding the long-term outcomes, there was no significant difference in overall survival between both groups in all enrolled (P = 0.190) and propensity score-matched patients (P = 0.643) | ||
| 520 | |a CONCLUSIONS: LTG for the upper part of clinical Stage I gastric cancer is a safe and reliable procedure and could have similar short- and long-term outcomes as OTG | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Laparoscopic total gastrectomy | |
| 650 | 4 | |a complication | |
| 650 | 4 | |a esophagojejunostomy | |
| 650 | 4 | |a gastric cancer | |
| 650 | 4 | |a prognosis | |
| 700 | 1 | |a Kosuga, Toshiyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Kubota, Takeshi |e verfasserin |4 aut | |
| 700 | 1 | |a Okamoto, Kazuma |e verfasserin |4 aut | |
| 700 | 1 | |a Konishi, Hirotaka |e verfasserin |4 aut | |
| 700 | 1 | |a Shiozaki, Atsushi |e verfasserin |4 aut | |
| 700 | 1 | |a Fujiwara, Hitoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Ichikawa, Daisuke |e verfasserin |4 aut | |
| 700 | 1 | |a Otsuji, Eigo |e verfasserin |4 aut | |
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