Journal of Gastric Cancer

  • 제13권1호
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  • Pages.44-50
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  • 2013
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  • 2093-582X(pISSN)
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  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
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Comparison of Laparoscopy-Assisted and Totally Laparoscopic Distal Gastrectomy: The Short-Term Outcome at a Low Volume Center

  • 투고 : 2013.02.04
  • 심사 : 2013.03.06
  • 발행 : 2013.03.30
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초록

Purpose: Laparoscopic gastrectomy has been adopted for the treatment of gastric cancer, and despite the technical difficulties, totally laparoscopic distal gastrectomy has been considered less invasive than laparoscopy-assisted distal gastrectomy. Although there have been many reports regarding the feasibility and safety of totally laparoscopic distal gastrectomy at large volume centers, few reports have been conducted at low-volume centers. The purpose of this study is to try to assess the feasibility and safety of totally laparoscopic distal gastrectomy at a low volume center through the analysis of short-term outcomes of totally laparoscopic distal gastrectomy compared with laparoscopy-assisted distal gastrectomy. Materials and Methods: The clinical data and short-term surgical outcomes of 35 patients who had undergone laparoscopy-assisted distal gastrectomy between April 2007 and March 2010, and 37 patients who underwent totally laparoscopic distal gastrectomy between April 2010 and August 2012 were retrospectively reviewed. Results: There was no significant difference in the demographic and clinical data. However the reconstruction method and extent of lymphadenectomy showed statistically significant differences. Operation time and estimated blood loss did not show significant differences. Surgical and medical complications did not show significant differences but postoperative courses including time-to-first oral intake and postoperative hospital stay were significantly increased. Conclusions: Our study shows that totally laparoscopic distal gastrectomy is technically feasible at a low volume center. Therefore, totally laparoscopic distal gastrectomy can be considered as one of the surgical treatment for early gastric cancer. However the possibility that totally laparoscopic distal gastrectomy may have less benefit should also be considered.

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참고문헌

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피인용 문헌

  1. Totally Laparoscopic Surgery for Gastric Cancer vol.13, pp.1, 2013, https://doi.org/10.5230/jgc.2013.13.1.1
  2. Comparison of the outcomes for laparoscopic gastrectomy performed by the same surgeon between a low-volume hospital and a high-volume center vol.28, pp.5, 2013, https://doi.org/10.1007/s00464-013-3352-2
  3. Systematic review and meta-analysis of totally laparoscopic versus laparoscopic assisted distal gastrectomy for gastric cancer vol.13, pp.None, 2015, https://doi.org/10.1186/s12957-015-0532-7
  4. UEG Week 2016 Poster Presentations vol.4, pp.5, 2013, https://doi.org/10.1177/2050640616663689
  5. Laparoscopic gastrectomy in obese gastric cancer patients: a comparative study with non-obese patients and evaluation of difference in laparoscopic methods vol.17, pp.None, 2013, https://doi.org/10.1186/s12876-017-0638-1
  6. A comparative study of totally laparoscopic distal gastrectomy versus laparoscopic-assisted distal gastrectomy in gastric cancer patients: Short-term operative outcomes at a high-volume center vol.30, pp.5, 2018, https://doi.org/10.21147/j.issn.1000-9604.2018.05.07
  7. Totally laparoscopic verse laparoscopic assisted distal gastrostomy for gastric cancer: an update meta-analysis vol.9, pp.15, 2013, https://doi.org/10.18632/oncotarget.23895
  8. Totally Laparoscopic Gastrectomy Versus Laparoscopic-Assisted Gastrectomy for Gastric Cancer: A Systematic Review and Meta-Analysis vol.31, pp.6, 2013, https://doi.org/10.1089/lap.2020.0566