Laparoscopically assisted distal gastrectomy for early gastric cancer

Shimizu, Shuji; Uchiyama, Akihiko; Mizumoto, Kazuhiro; Morisaki, T.; Nakamura, Kazuhiko; Sasaki, Hideo; Tanaka, Masao

doi:10.1007/s004649900005

Cited by 120 publications

(77 citation statements)

References 25 publications

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“…Many studies have shown the advantages of LADG over open distal subtotal gastrectomy (ODSG), such as cosmetic benefits, less pain, faster recovery, and shorter hospital stay [2][3][4][5][6][7]. The early postoperative quality of life (QoL) following LADG has been shown to be superior to that following ODSG [8,9].…”

Section: Introductionmentioning

confidence: 99%

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

et al. 2011

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Background The aim of this study was to compare the quality of life after the early postoperative period and before reaching 5 years postoperatively between patients who underwent laparoscopy-assisted distal gastrectomy (Group A) and patients who underwent open distal subtotal gastrectomy (Group B). Methods The Korean versions of the European Organization for Research and Treatment (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) and a gastric cancer-specific module, the EORTC QLQ-STO22, were used to assess the quality of life of 80 patients who underwent laparoscopy-assisted distal gastrectomy or open distal subtotal gastrectomy for gastric cancer. The postoperative period ranged between 6 months and 5 years. Results The global health status/quality of life scores of Groups A and B were 56.0 ± 19.0 and 57.4 ± 18.2, respectively (p = 0.729). Group A experienced worse quality of life in role functioning (p = 0.026), cognitive functioning (p = 0.034), fatigue (p = 0.039), eating restrictions (p = 0.009), and anxiety (p = 0.033). Group A showed a trend to experience worse quality of life in physical functioning, emotional functioning, social functioning, insomnia, and body image, albeit without statistical significance. Conclusion After the early postoperative period and before achieving long-term survival, patients who underwent laparoscopy-assisted distal gastrectomy appeared to experience lower quality of life compared to patients who underwent open distal subtotal gastrectomy. This finding may be associated with the patients' erroneously high expectations of laparoscopy-assisted distal gastrectomy.

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Section: Introductionmentioning

confidence: 99%

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

et al. 2011

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“…Since its introduction in 1991 [9], laparoscopy-assisted gastrectomy (LAG) has gained widespread, international acceptance among surgeons as one of the best treatments for early gastric cancer (EGC) [18]. LAG provides many other advantages when compared with conventional open gastrectomy: less blood loss and inflammation, better post-operative pulmonary function, less postoperative pain, earlier first flatus and eating, shorter hospital stays, and better cosmesis [10].…”

Section: Introductionmentioning

confidence: 99%

Multidimensional learning curve in laparoscopy-assisted gastrectomy for early gastric cancer

et al. 2006

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Background: Laparoscopy-assisted gastrectomy (LAG) is a complex and time-consuming procedure, which is increasingly used for early gastric cancer (EGC). We provide a multidimensional analysis of the learning curve in LAG. Methods: Cumulative sum method was used to analyze outcomes of 109 patients undergoing LAG for EGC by one surgeon over a two year period; the influence of patient selection was evaluated. Target failure rate was set at 10%, with failure defined as open conversion, mortality, major morbidity, residual tumor, or inappropriate lymphadenectomy. Results: There were 19 failures-fourteen performance and five oncologic. The learning curve, which displayed a slight rising trend and three phases was achieved after 40 cases with selected patients; it was broken, however, by the introduction of advanced procedures and unselected patients. Conclusions: Advanced procedures and broad indications in LAG should be delayed until a learning curve is completed under the target failure rate.

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“…The incidence of early gastric cancer in Korea has been increasing because of recent improvements in early diagnosis [3]. Many studies have focused on improving the quality of life and achieving an early recovery after operation by performing minimally invasive surgery instead of open surgery for treating early gastric cancer [4][5][6][7]. Gastric surgeons have displayed great interest in laparoscopic surgery for early gastric cancer because laparoscopic surgery has many advantages over conventional open surgery in terms of the patients' quality of life [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have focused on improving the quality of life and achieving an early recovery after operation by performing minimally invasive surgery instead of open surgery for treating early gastric cancer [4][5][6][7]. Gastric surgeons have displayed great interest in laparoscopic surgery for early gastric cancer because laparoscopic surgery has many advantages over conventional open surgery in terms of the patients' quality of life [4][5][6][7]. We have reported a comparative study of laparoscopic surgery and conventional open surgery for gastric cancer [7], and a number of authors have recently presented their experiences with laparoscopic surgery for the treatment of early gastric cancer [4,7,8].…”

Section: Introductionmentioning

confidence: 99%

The impact of obesity on LADG for early gastric cancer

Kim

Jung

et al. 2006

Gastric Cancer

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Laparoscopically assisted distal gastrectomy for early gastric cancer

Abstract: Although LG requires longer surgical time, this retrospective study suggests that it is superior to open surgery in terms of faster postoperative recoveries, shorter hospital stays, and cosmetic outcomes.

Cited by 120 publications

References 25 publications

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

Multidimensional learning curve in laparoscopy-assisted gastrectomy for early gastric cancer

The impact of obesity on LADG for early gastric cancer

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