Laparoscopy-assisted pancreas- and spleen-preserving total gastrectomy for gastric cancer as compared with open total gastrectomy

Sakuramoto, Shinichi; Kikuchi, Shiro; Futawatari, Nobue; Katada, Natsuya; Moriya, Hiromitsu; Hirai, Kazuya; Yamashita, Keishi; Watanabe, Masahiko

doi:10.1007/s00464-009-0371-0

Cited by 102 publications

(66 citation statements)

References 21 publications

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“…In many of these comparative studies, longer operation times, less blood loss, and equal numbers of dissected lymph nodes were observed in the LTG group compared with the OTG group [45][46][47]. Obviously, these outcomes will have been dependent on the extent of lymph node dissection, whether multiple organ resections were performed, and the skill of the surgeons in each study.…”

Section: Reconstruction Methods After Laparoscopic Total Gastrectomymentioning

confidence: 99%

“…Many studies reported that there were no significant differences in the incidence of complications between the LTG and OTG groups [45][46][47]51]. Among anastomosis-related complications in the LTG group, leakage at the site of esophagojejunostomy was observed in 0.9-8.5 % of patients, leakage at the duodenal stump was seen in 1.0-3.4 % of patients, stricture at the site of esophagojejunostomy was seen in 0-9.0 % of patients, intraluminal bleeding was seen in 0-7.6 % of patients, and ileus or stasis was seen in 0-3.3 % of patients [19,23].…”

Section: Postoperative Complicationsmentioning

confidence: 99%

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A systematic review of laparoscopic total gastrectomy for gastric cancer

et al. 2015

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Background Laparoscopic total gastrectomy (LTG) has been performed since 1999. Although surgical outcomes have been reported from Japan, Korea, China, and many Western countries, the effectiveness of this technique has not been conclusively established. This study therefore aimed to review the literature systematically. Methods Our search of the research literature identified 150 studies, which were mostly retrospective and from single institutions. Results There has recently been a remarkable increase in the number of studies from Korea, and the number of patients included in studies has increased since 2009. In most studies, the surgical procedures were longer, blood loss was reduced, and the number of retrieved lymph nodes was the same in the LTG group as in the open total gastrectomy group. The incidence of postoperative complications and that of inflammation during postoperative recovery were the same in these two groups. Conclusions During LTG, the method used for esophagojejunostomy is important for surgical reliability and to reduce postoperative complications. There has been rapid development of new techniques from the level of esophagojejunostomy through a small skin incision to the high level of intracorporeal esophagojejunostomy using various techniques. A nationwide prospective phase II study is urgently needed to establish the value of LTG.

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Section: Reconstruction Methods After Laparoscopic Total Gastrectomymentioning

confidence: 99%

Section: Postoperative Complicationsmentioning

confidence: 99%

A systematic review of laparoscopic total gastrectomy for gastric cancer

et al. 2015

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“…This section discusses the indications and short-term outcomes. Several reports, including subset analyses, of case comparison studies between open total gastrectomy and laparoscopic total gastrectomy have been published regarding indications for laparoscopic total gastrectomy (27)(28)(29)(30)(31)34). However, only several dozens of the laparoscopic total gastrectomy cases were investigated in any of the report, and studies from Japan and Korea are limited to patients with early gastric cancer.…”

Section: Evidence Regarding Laparoscopic Total Gastrectomymentioning

confidence: 99%

“…Regarding post-operative short-term outcomes in all reports of case-control studies including subset analyses, laparoscopic total gastrectomy was demonstrated to have a longer surgical duration, but a smaller amount of intraoperative bleeding than open total gastrectomy (27)(28)(29)(30)(31). Several studies have also showed that laparoscopic total gastrectomy resulted in smaller post-operative increases in leukocytes and C-reactive protein (27,28,30), less post-operative pain (28,30) and earlier recovery of intestinal movement (27).…”

Section: Evidence Regarding Laparoscopic Total Gastrectomymentioning

confidence: 99%

Minimally invasive surgery for stomach cancer

Nunobe

Kumagai

Ida

et al. 2016

Jpn. J. Clin. Oncol.

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Laparoscopic surgery for gastric cancer has become extremely widespread in recent years especially in Asian countries due to its low invasiveness. As to evidence of indication for laparoscopic surgery for gastric cancer, laparoscopic surgery for gastric cancer often appears to be indicated for early gastric cancer at many institutions, while evidence was considered to be insufficient to recommend laparoscopic surgery for gastric cancer at Stage II and above. There are also problems with indications for cases other than tumour factors. No meta-analyses and prospective studies have been reported, but outcomes of laparoscopic surgery for gastric cancer in gastric cancer patients with co-morbid and/or existing diseases have been reported in retrospective studies. Indications in the elderly appear to be favourable in terms of post-operative ambulation considering factors such as the degree of dissection in accordance with the status of the patient. Meta-analyses, randomized controlled trials and several retrospective studies have compared the short-term usefulness of laparoscopic surgery for gastric cancer with that of conventional gastrectomy. The superiority of laparoscopic surgery for gastric cancer has been reported in terms of the reduced amount of bleeding, a reduction in the administration frequency and period of analgesic doses, a reduction in the duration of fever, early recovery of intestinal movement and early return to oral intake. A small-scale randomized controlled trial and several retrospective studies have demonstrated no significant differences in survival rate, recurrence rate and type of recurrence between laparoscopic surgery for gastric cancer and conventional gastrectomy. The results of the aforementioned trials in early gastric cancer in Japan and Korea for which enrolment is complete remain to be published.

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“…Some surgeons have reported the use of extracorporeal approaches through mini-laparotomy [7,8], which may spoil the cosmetic benefits of laparoscopic surgery. Another approach involves side-to-side anastomosis using a linear stapler [9,10].…”

Section: Introductionmentioning

confidence: 99%