Laparoscopic Versus Open Subtotal Gastrectomy for Adenocarcinoma: A Case–Control Study

Abstract

Laparoscopic subtotal gastrectomy for adenocarcinoma is comparable to the open approach with regard to oncologic principles of resection, with equivalent margin status and adequate lymph node retrieval, demonstrating technically feasibility and equivalent short-term recurrence-free survival. Additional benefits of decreased postoperative complications, decreased length of hospital stay, and decreased narcotic use make this a preferable approach for selected patients.

Safety and feasibility of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer: a multicenter phase II trial (JCOG 0703)

“…Patients with a BMI of more than 30 were excluded from this study; as a result, the median BMI was 21.8. In western countries, the median BMI was reported as 26-29, and higher morbidities (10%-26% as grade 1-4 adverse events) than that in this study (9.1%) were demonstrated [22,23]. Thus, BMI should be taken into consideration to interpret the morbidity results.…”

Comparison of laparoscopic versus open gastrectomy for advanced gastric cancer: an updated meta-analysis

“…After reading the full texts of the remaining papers, 24 studies were removed as they only reported the outcomes of LG for AGC whereas no controlled or matched cases treated by OG were available. Among the remaining articles, 19 studies [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55] were excluded because EGC cases were mixed with AGCs in the cohort studies and data on AGCs were not extractable. Eight studies were further deleted for the following reasons: 2 studies were ongoing randomized controlled trials (RCTs) that only described study design and patient enrollment criteria without results reported [56,57]; 2 studies had overlapped enrollments with former research [58,59]; 1 study reported incomplete data that were not suitable for analysis [60]; and 3 studies discussed other issues irrelevant to the topic of this meta-analysis [61][62][63].…”

Comparative study of laparoscopicvsopen gastrectomy in gastric cancer management

“…If the feasibility and safety of LGS in the treatment of EGC has been proven, it is also true that several reports have shown the efficacy of LGS in the cure of EGC with results comparable to those of an OGS series [11,12] .…”