Gastrointestinal symptomatic outcomes of laparoscopic and open gastrectomy

Kharbutli, Bilal; Velanovich, Vic

doi:10.4240/wjgs.v1.i1.56

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…[ 10 11 12 ] Previous studies showed that laparoscopic procedures had less adverse gastrointestinal symptoms and resulted in faster gastrointestinal recovery than open surgery. [ 10 13 14 15 ]…”

Section: Discussionmentioning

confidence: 99%

Perioperative recovery in different urinary reconstruction approaches of radical cystectomy: Are the advantages of laparoscopy consistent?

Liu

Meng

et al. 2020

J Min Access Surg

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Context: Radical cystectomy (RC) has complicated surgical procedures and various ways of urinary reconstruction. Aims: The aim of this study is to investigate whether the advantages of laparoscopy over open surgery were consistent in the perioperative recovery of different methods of urinary diversion after RC in the general and the elderly (>65 years) population. Settings and Design: A retrospective study reviewed 452 (elderly 261) patients who received RC from the year 2005–2012. Subjects and Methods: Of all, 88 patients underwent laparoscopic RC (LRC) and 364 patients underwent open RC (ORC). There were 325 patients received ileal conduit (IC), whereas 127 patients received cutaneous ureterostomy (CU). Statistical Analysis Used: We used different statistical methods ( t -test, Chi-square, etc.) to compare variables outcomes. Results: For IC urinary diversion, the general patients undergoing LRC had less intra-operative blood loss (566.5 vs. 1320.3 ml, P < 0.001), lower blood transfusion rate (11.4 vs. 34.1%, P < 0.001), shorter gastrointestinal recovery time (5.7 vs. 6.7 days, P = 0.002) and shorter length of hospital stay (LOS) (21.7 vs. 26.0 days, P = 0.003) than patients receiving ORC. Similar trends were observed in older patients. For CU urinary diversion, the general and the elderly patients receiving LRC had a shorter mean time to gastrointestinal recovery ( P = 0.017, P < 0.001, respectively) than patients receiving ORC. No differences were found between LRC and ORC in intra-operative blood loss, allogeneic blood transfusion rate and LOS. Conclusions: In the general and the elderly population, laparoscopic approach could result in more rapid rehabilitation for RC patients, especially in the IC patients.

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Section: Discussionmentioning

confidence: 99%

Perioperative recovery in different urinary reconstruction approaches of radical cystectomy: Are the advantages of laparoscopy consistent?

Liu

Meng

et al. 2020

J Min Access Surg

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“…More recently, several other authors have found similar benefits from laparoscopic gastrectomy compared with open surgery. [33][34][35][36][37][38][39][40] Our results have shown both low mortality (1.75%) and major morbidity (3.50%) rates for laparoscopic gastrectomy. This compares favourably with published literature regarding complications from open gastrectomy.…”

Section: Discussionmentioning

confidence: 93%

Safety and application of laparoscopic gastrectomy for benign gastric disease and gastric cancer

Zia

Morris‐Stiff

Luhmann

et al. 2011

annals

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“…The smaller incision led to less tissue damage compared to conventional laparotomy and laparoscopic-assisted surgery 12) , this will reduce the obstruction caused by adhesion of the stomach or intestines and reduce abdominal pains. As compared to LAPPG, the small incisions required for TLPPG remained uniform in size between patients and were independent of patient factors, leading to a potential advantage for using the technique [13][14][15] . The score of the dyspepsia subscale was also lower than that of the PGSAS group.…”

Section: Discussionmentioning

confidence: 99%

Totally Laparoscopic Pylorus-Preserving Gastrectomy (TLPPG) is Safe and Effective for Early Gastric Cancer Treatment

WEI,

ZHIPENG,

SHI

et al. 2023

Juntendo Medical Journal

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Background Compared to distal gastrectomy (DG), pylorus-preserving gastrectomy (PPG), a peristaltic function-preserving surgery for early gastric cancer (EGC), is advantageous as it leads to a more improved nutritional status and quality of life (QOL) of patients. In recent years, total laparoscopic PPG (TLPPG), an anastomosis which is performed intracorporeally, has increasingly replaced laparoscopic-assisted PPG (LAPPG) due to its minimal invasiveness. Aim To evaluate the safety and feasibility of TLPPG in terms of perioperative efficacy. Patients Three patients underwent TLPPG in the Affiliated Hospital of Changzhi Medical College from September 2021 to March 2022. Methods Surgical safety analysis: Our three cases (TLPPG group) were compared to data from the CLASS-02 study, which collected data from multiple centers across China for the laparoscopic total gastrectomy (LTG group). The CLASS-02 study provides data from the most invasive type of gastric surgery, providing solid comparative data to our own. Postoperative short-term efficacy analysis: Patient questionnaire responses provided data on postoperative nutritional and QOL status. Results from our three cases were compared to the Japanese multicenter data PGSAS-37 (PGSAS group). Results There were no complications or deaths occurred during or after operation in our cases. Compared to the PGSAS group, our cases scored lower for abdominal pain, dyspepsia, and weight loss. Conclusion Although more case information is needed, our findings demonstrate that TLPPG may be a possible and effective treatment for EGC in China, similar to that in Japan.

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Gastrointestinal symptomatic outcomes of laparoscopic and open gastrectomy

Cited by 5 publications

References 17 publications

Perioperative recovery in different urinary reconstruction approaches of radical cystectomy: Are the advantages of laparoscopy consistent?

Perioperative recovery in different urinary reconstruction approaches of radical cystectomy: Are the advantages of laparoscopy consistent?

Safety and application of laparoscopic gastrectomy for benign gastric disease and gastric cancer

Totally Laparoscopic Pylorus-Preserving Gastrectomy (TLPPG) is Safe and Effective for Early Gastric Cancer Treatment

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