Comparison of short- and long-term outcomes of laparoscopic-assisted total gastrectomy and open total gastrectomy in gastric cancer patients
DC Field | Value | Language |
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dc.contributor.author | Lee, Moon-Soo | - |
dc.contributor.author | Lee, Ju-Hee | - |
dc.contributor.author | Park, Do Joong | - |
dc.contributor.author | Lee, Hyuk-Joon | - |
dc.contributor.author | Kim, Hyung-Ho | - |
dc.contributor.author | Yang, Han-Kwang | - |
dc.date.accessioned | 2024-07-15T02:00:39Z | - |
dc.date.available | 2024-07-15T02:00:39Z | - |
dc.date.issued | 2013-07 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.issn | 1432-2218 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74771 | - |
dc.description.abstract | Laparoscopy-assisted total gastrectomy (LATG) has been used more frequently despite the associated technical difficulty and concerns over oncological safety. This study was undertaken to compare the short- and long-term surgical outcomes following either LATG or open total gastrectomy (OTG) for gastric cancer. A total of 120 LATG and 228 OTG were retrospectively matched with respect to sex, age (+/- 5 years), and pathological tumor-node-metastasis stage for comparison of the clinical outcomes. The total complication rate among 120 LATG and 228 OTG was 18.3 % (22/120) and 16.2 % (37/228), respectively. The most common complication after LATG was anastomotic-related complication (6.7 %); five anastomotic leakages (4.2 %) and three anastomotic strictures were reported (2.5 %). That after OTG was wound complication (3.5 %), including seroma or infection. Matched patients analysis: Time to first gas passing and time to the resumption of a soft diet were significantly shorter in the LATG group than in the OTG group. The postoperative hospital stay of LATG was shorter in the LATG group (9.3 +/- A 4.2 days) than in the OTG group (11.7 +/- A 7.3 days; p = 0.057). Among matched patients, there was no significant difference between complication rate (24 vs. 32 %; p = 0.504) or leakage rate (6 vs. 4 %). During median follow-up of 50 (range, 10-92) months, there was no significant difference in the disease-free survival rate between the matched groups, respectively (94.5 vs. 87.1 %: p = 0.148). As for patients with TNM stage I gastric cancer, the disease-free survival rate (100 vs. 90.9 %; p = 0.5) and the cumulative survival rate (91.5 vs. 95.2 %; p = 0.618) did not differ significantly between the LATG and OTG groups. LATG for gastric cancer has the advantage over an OTG in terms of better short-term outcomes and similar long-term outcome. LATG is an acceptable alternative to OTG for the treatment of gastric cancer. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | SPRINGER | - |
dc.title | Comparison of short- and long-term outcomes of laparoscopic-assisted total gastrectomy and open total gastrectomy in gastric cancer patients | - |
dc.type | Article | - |
dc.identifier.doi | 10.1007/s00464-013-2796-8 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, v.27, no.7, pp 2598 - 2605 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000320447800043 | - |
dc.identifier.scopusid | 2-s2.0-84884907813 | - |
dc.citation.endPage | 2605 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 2598 | - |
dc.citation.title | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.citation.volume | 27 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Total gastrectomy | - |
dc.subject.keywordAuthor | Laparoscopy | - |
dc.subject.keywordAuthor | Gastric cancer | - |
dc.subject.keywordPlus | LYMPH-NODE DISSECTION | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | MORBIDITY | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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