Comparative study between total and subtotal gastrectomy for distal gastric cancer: Meta-analysis of prospective and retrospective studies

Giménez-Rico, Hipólito Durán; Aguirre, Lucía Diéguez; Pérez, Lucía Ríos; Cardinal-Fernández, Pablo; Caruso, Riccardo; Ferri, Valentina; Collazo, Yolanda Quijano; López, E. Vicente

doi:10.1016/j.cireng.2020.11.013

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…The post-operative complication rate is a crucial factor for judging the safety of a surgical procedure and closely affects post-operative recovery and prognosis ( 36 ). In the present study, a higher overall complication rate was present in the TG group and a similar result was also obtained in a previous meta-analysis focusing on distal gastric cancer ( 37 ). To explore the specific origin of the significant difference, further stratified analyses were performed and a higher morbidity for anastomotic leakage was observed in TG.…”

Section: Discussionsupporting

confidence: 92%

Surgical and oncological outcomes of distal gastrectomy compared to total gastrectomy for middle‑third gastric cancer: A systematic review and meta‑analysis

Jiang

Yang

et al. 2022

Oncol Lett

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Distal gastrectomy (DG) and total gastrectomy (TG) are the most common types of radical surgery for patients with middle-third gastric cancer (MTGC). However, the indications and benefits of the two procedures still remain controversial. The present meta-analysis aimed to compare the surgical and oncological outcomes of DG and TG in the treatment of MTGC. A rigorous literature review was performed in the databases of PubMed, Embase, Web of Science, China National Knowledge Infrastructure and Chinese BioMedical Literature to retrieve studies published up to February 2022. The Newcastle-Ottawa Scale was used to assess the quality of included studies and a meta-analysis was performed using RevMan 5.3 software. A total of 12 retrospective studies performing comparisons of DG and TG were included in the present meta-analysis. For patients who underwent DG, a lower rate of overall post-operative complications, anastomosis leakage and intro-abdominal infection was determined. No significant difference was observed between DG and TG in the 5-year overall survival when the proximal resection margin ranged from 3 to 5 cm. Although DG was associated with a higher 5-year overall survival rate when compared to TG, there was no significant difference in the stratified analyses by TNM stage. In conclusion, the prognosis of MTGC did not depend on the extent of gastrectomy. With lower complications and acceptable oncological outcomes, DG was a safe and feasible surgical procedure for MTGC when a negative proximal margin was confirmed.

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Section: Discussionsupporting

confidence: 92%

Surgical and oncological outcomes of distal gastrectomy compared to total gastrectomy for middle‑third gastric cancer: A systematic review and meta‑analysis

Jiang

Yang

et al. 2022

Oncol Lett

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“…More investigation is still desirable to clarify these feasible influences. This was also emphasized in former investigations that utilized a related meta‐analysis procedure and originated equivalent values of the impact 45–48 . Although the meta‐analysis was incapable to discover if differences in these characteristics are related to the outcomes being researched, properly led RCTs are vital to consider these aspects as well as the mixture of different ages, gender and ethnicities of individuals.…”

Section: Discussionmentioning

confidence: 99%

“…This was also emphasized in former investigations that utilized a related meta-analysis procedure and originated equivalent values of the impact. [45][46][47][48] Although the meta-analysis was incapable to discover if differences in these characteristics are related to the outcomes being researched, properly led RCTs are vital to consider these aspects as well as the mixture of different ages, gender and ethnicities of individuals. In conclusion, TG had significantly higher overall PP, WIs, PA, AL and death compared to those with DG in individuals with GC.…”

Section: Investigationmentioning

confidence: 99%

A meta‐analysis evaluating wound infections and other complications following distal versus complete gastrectomy for gastric cancer

Imam,

Abdel‐Sattar,

Alotaibi

et al. 2023

International Wound Journal

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A meta‐analysis investigation was carried out to measure the wound infections (WIs) and other postoperative problems (PPs) of distal gastrectomy (DG) compared with total gastrectomy (TG) for gastric cancer (GC). A comprehensive literature investigation till February 2023 was used and 1247 interrelated investigations were reviewed. The 12 chosen investigations enclosed 2896 individuals with GC in the chosen investigations' starting point, 1375 of them were TG, and 1521 were DG. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were utilized to compute the value of the WIs and other PPs of DG compared with TG for GC by the dichotomous approaches and a fixed or random model. TG had significantly higher overall PP (OR, 1.58; 95% CI, 1.15–2.18, p = 0.005), WIs (OR, 1.69; 95% CI, 1.07–2.67, p = 0.02), peritoneal abscess (PA) (OR, 2.99; 95% CI, 1.67–5.36, p < 0.001), anastomotic leakage (AL) (OR, 1.90; 95% CI, 1.21–2.97, p = 0.005) and death (OR, 2.26; 95% CI, 1.17–4.37, p = 0.02) compared to those with DG in individuals with GC. TG had significantly higher overall PP, WIs, PA, AL and death compared to those with DG in individuals with GC. However, care must be exercised when dealing with its values because of the low sample size of some of the nominated investigations for the meta‐analysis.

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An Investigational Approach for the Prediction of Gastric Cancer Using Artificial Intelligence Techniques: A Systematic Review

Bhardwaj

Bhandari

Kumar

et al. 2022

Arch Computat Methods Eng

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Comparative study between total and subtotal gastrectomy for distal gastric cancer: Meta-analysis of prospective and retrospective studies

Cited by 4 publications

References 23 publications

Surgical and oncological outcomes of distal gastrectomy compared to total gastrectomy for middle‑third gastric cancer: A systematic review and meta‑analysis

Surgical and oncological outcomes of distal gastrectomy compared to total gastrectomy for middle‑third gastric cancer: A systematic review and meta‑analysis

A meta‐analysis evaluating wound infections and other complications following distal versus complete gastrectomy for gastric cancer

An Investigational Approach for the Prediction of Gastric Cancer Using Artificial Intelligence Techniques: A Systematic Review

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