Totally laparoscopic versus open total gastrectomy for gastric cancer

Chen, Ke; Pan, Yu; Zhai, Shu-Ting; Yu, Weihua; Pan, Junhai; Zhu, Yiping; Chen, Qilong; Wang, Xianfa

doi:10.1097/md.0000000000008061

Cited by 27 publications

(24 citation statements)

References 18 publications

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“…In terms of case duration, totally laparoscopic total gastrectomy cases were presented in two separate studies and the mean operation time was 140-230 minutes. 25 , 26 In our study, total laparoscopic total gastrectomy cases had a mean operation time of 159 minutes and were similar to those of the literature. When we look at the results of laparoscopic subtotal gastrectomy, the rate of anastomosis leakage was reported as 5% in a study in which completely laparoscopic cases were presented.…”

Section: Discussionsupporting

confidence: 87%

“… 24 In a study comparing 124 cases selected from 1258 laparoscopic gastrectomy patients and 3268 open gastrectomy patients using all three of OrVil™, overlap and anvil techniques, anastomosis leakage rate was 2.4% and anastomosis stricture rate was 1.6%. 25 In our cases, we used the esophagojejunostomy technique performed side by side with linear stapler described by Inaba et al 26 Anastomotic leakage and stenosis caused by this technique was 2.7% in accordance with the literature. In terms of case duration, totally laparoscopic total gastrectomy cases were presented in two separate studies and the mean operation time was 140-230 minutes.…”

Section: Discussionsupporting

confidence: 67%

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Laparoscopic Gastric Resection for Gastric Cancer: Is Intracorporeal Anastomosis Necessary?

et al. 2020

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Background and Objective: In surgical dissection, laparoscopic approach and open techniques do not differ significantly, but there is still no consensus on how anastomosis should be performed in both cardia and distal gastric tumors. Anastomosis can be performed by laparoscopy-assisted mini-laparotomy or by intracorporeal suture techniques. In this study, we aim to present our four years of clinical experience and short-term surgical results from 133 cases in order to evaluate the necessity of laparoscopic anastomosis. Methods: This study was approved by Ethics Committee (No: 1-8-19, date: 14/01/2019). Patients who underwent curative resection with the diagnosis of gastric adenocarcinoma between January 2014 and January 2018 in the Ankara University Surgical Oncology Department were included in the study. Results: Of the 133 patients included in the study, 108 (81.2) were male and the mean age was 60.51 ± 12.0 years. The time of anastomosis was significantly longer in patients undergoing intracorporeal anastomosis (p = 0.021). The incidence of anastomotic leakage was significantly higher in the group undergoing intracorporeal anastomosis (p = 0.004). Conclusions: We think that esophagojejunostomy and jejunojejunostomy anastomoses in patients undergoing total gastrectomy should be performed with intracorporeal techniques in terms of benefit risk assessment. We believe that it is more feasible to continue the case with mini laparotomy when anastomosis is reached in patients who are planned to have gastrojejunostomy. In addition, in terms of intracorporeal anastomoses and advanced laparoscopic techniques, intracorporeal anastomoses performed in gastric cancer surgery for a laparoscopist who has completed the learning curve do not appear to be very different in terms of anastomosis safety. doi: https://doi.org/10.12669/pjms.36.6.1915 How to cite this:Ogun E, Ekrem UA, Yuksel C, Serdar C, Basceken SI, Umit M, et al. Laparoscopic Gastric Resection for Gastric Cancer: Is Intracorporeal Anastomosis Necessary? Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.1915 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 67%

Laparoscopic Gastric Resection for Gastric Cancer: Is Intracorporeal Anastomosis Necessary?

et al. 2020

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“…Postoperative complications were classified into major and minor groups based on the Clavien Diendo classification in 11 studies [17,24,25,27,29,31,33,35,37,39,40]. The other seven studies did not specify complications [23,26,28,30,32,34,36].…”

Section: Postoperative Complicationmentioning

confidence: 99%

Laparoscopic total gastrectomy as a valid procedure to treat gastric cancer option both in early and advanced stage: A systematic review and meta-analysis

Oh¹,

Kim²,

Lee

et al. 2020

European Journal of Surgical Oncology

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“…According to the range of surgeries, LG can be divided into LDG and LTG 7 - 9 . Compared with LDG, LTG has characteristics such as a wide scope of lymph node dissection, a relatively complicated digestive tract reconstruction process, longer operation duration and higher rate of conversion to laparotomy 20 - 26 . In recent years, LG has been widely used for elderly patients 33 - 45 .…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Laparoscopic Total Gastrectomy for Elderly Gastric Cancer Patients

2018

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Purpose: The purpose of this study was to compare the short- and long-term outcomes after laparoscopic total gastrectomy (LTG) between elderly and non-elderly patients with gastric cancer.Methods: A retrospective analysis was performed using clinical and follow-up data from 168 patients treated with LTG for gastric cancer at our institution from January 2010 to December 2017. For this study, the short- and long-term outcomes (including tumor recurrence rate, disease-free survival rate, and overall survival rate) were compared between the elderly group (≥70 years) and non-elderly group (<70 years).Results: The preoperative American Society of Anesthesiologists score and Charlson Comorbidity Index were higher in the elderly group than in the non-elderly group, while there was no significant difference between the two groups in terms of operation duration, intraoperative blood loss, and rate of conversion to laparotomy. The incidence of postoperative 30-day complications in the elderly group was higher than that in the non-elderly group due to a higher incidence of pulmonary infection, while the incidence of major complications was similar in both groups. The tumor recurrence rate was also similar in both groups. There was no statistically significant difference between the two groups in terms of 5-year disease-free survival and 5-year overall survival rate.Conclusions: LTG is safe and feasible for elderly patients with gastric cancer and is associated with relatively good long-term outcomes.

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Totally laparoscopic versus open total gastrectomy for gastric cancer

Cited by 27 publications

References 18 publications

Laparoscopic Gastric Resection for Gastric Cancer: Is Intracorporeal Anastomosis Necessary?

Laparoscopic Gastric Resection for Gastric Cancer: Is Intracorporeal Anastomosis Necessary?

Laparoscopic total gastrectomy as a valid procedure to treat gastric cancer option both in early and advanced stage: A systematic review and meta-analysis

Outcomes of Laparoscopic Total Gastrectomy for Elderly Gastric Cancer Patients

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