Comparative study between total and subtotal gastrectomy for distal gastric cancer : Meta-analysis of prospective and retrospective studies
Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved..
There is no clear agreement on the type of gastrectomy to be used (either total [TG] or distal [DG]) in middle or distal gastric cancer, especially when it is undifferentiated or Lauren diffuse type. In this meta-analysis, we intend to define which of the 2techniques should be recommended, based on survival, morbidity and mortality rates. Prospective and retrospective studies comparing both techniques have been included for a total of 6303 patients (3,641 DG and 2,662 TG). DG was significantly associated with fewer complications, fewer anastomotic fistulae, and less perioperative mortality. The number of lymph nodes in DG was significantly lower, but always above 15. Finally, even the 5-year survival of DG was also higher. Therefore, DG, as long as a safety margin is obtained and regardless of the histological type, should be performed in surgery for distal stomach cancer.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:98 |
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| Enthalten in: |
Cirugia espanola - 98(2020), 10 vom: 24. Dez., Seite 582-590 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Estudio comparativo entre la gastrectomía total y subtotal en el cáncer distal de estómago: metaanálisis de estudios prospectivos y retrospectivos |
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| Beteiligte Personen: |
Durán Giménez-Rico, Hipólito [VerfasserIn] |
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| Links: |
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| Themen: |
Cáncer gástrico |
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| Anmerkungen: |
Date Completed 12.08.2021 Date Revised 12.08.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ciresp.2020.05.028 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM311787118 |
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| 245 | 1 | 0 | |a Comparative study between total and subtotal gastrectomy for distal gastric cancer |b Meta-analysis of prospective and retrospective studies |
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| 520 | |a Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a There is no clear agreement on the type of gastrectomy to be used (either total [TG] or distal [DG]) in middle or distal gastric cancer, especially when it is undifferentiated or Lauren diffuse type. In this meta-analysis, we intend to define which of the 2techniques should be recommended, based on survival, morbidity and mortality rates. Prospective and retrospective studies comparing both techniques have been included for a total of 6303 patients (3,641 DG and 2,662 TG). DG was significantly associated with fewer complications, fewer anastomotic fistulae, and less perioperative mortality. The number of lymph nodes in DG was significantly lower, but always above 15. Finally, even the 5-year survival of DG was also higher. Therefore, DG, as long as a safety margin is obtained and regardless of the histological type, should be performed in surgery for distal stomach cancer | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Cáncer gástrico | |
| 650 | 4 | |a Gastrectomy | |
| 650 | 4 | |a Gastrectomía | |
| 650 | 4 | |a Gastrectomía subtotal | |
| 650 | 4 | |a Gastrectomía total | |
| 650 | 4 | |a Gastric cancer | |
| 650 | 4 | |a Subtotal gastrectomy | |
| 650 | 4 | |a Total gastrectomy | |
| 700 | 1 | |a Diéguez Aguirre, Lucía |e verfasserin |4 aut | |
| 700 | 1 | |a Ríos Pérez, Lucía |e verfasserin |4 aut | |
| 700 | 1 | |a Cardinal-Fernández, Pablo |e verfasserin |4 aut | |
| 700 | 1 | |a Caruso, Riccardo |e verfasserin |4 aut | |
| 700 | 1 | |a Ferri, Valentina |e verfasserin |4 aut | |
| 700 | 1 | |a Quijano Collazo, Yolanda |e verfasserin |4 aut | |
| 700 | 1 | |a Vicente López, Emilio |e verfasserin |4 aut | |
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