Laparoscopic gastrectomy for gastric cancer with simultaneous organ resection
- Authors
- Lee C.M.; Rao J.; Son S.-Y.; Ahn S.-H.; Lee J.-H.; Park D.J.; Kim H.-H.
- Issue Date
- 2013
- Citation
- Journal of Laparoendoscopic and Advanced Surgical Techniques, v.23, no.10, pp 861 - 865
- Pages
- 5
- Indexed
- SCI
SCIE
SCOPUS
- Journal Title
- Journal of Laparoendoscopic and Advanced Surgical Techniques
- Volume
- 23
- Number
- 10
- Start Page
- 861
- End Page
- 865
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/11348
- DOI
- 10.1089/lap.2013.0081
- ISSN
- 1092-6429
1557-9034
- Abstract
- Objectives: Simultaneous organ resection is performed in 10% of laparoscopic gastrectomies for gastric cancer. The purpose of this study is to investigate the feasibility and safety of simultaneous organ resection with laparoscopic gastrectomy for gastric cancer. Subjects and Methods: We retrospectively reviewed the medical records from a prospectively collected database of patients who underwent laparoscopic gastrectomy from May 2003 to April 2012 in a single center. The patients were classified into three groups: a gastrectomy-only (no simultaneous resection [NS]) group as a control, a combined resection (CB) group characterized by additional resection due to tumor invasion and extensive lymphadenectomy, and a concomitant resection (CC) group, including patients with other pathologic conditions. The clinical outcomes, in particular morbidity and mortality, were compared among the three groups. Results: The NS, CB, and CC groups included 1883 (90.1%), 66 (3.2%), and 140 (6.7%) patients, respectively. Mean operation time was longer in CB and CC patients than in NS patients (233.0±59.3, 227.4±100.9, and 180.1±54.0 minutes, respectively; P<.001), and mean hospital stay was longer in the CB and CC groups than in the NS group (9.6±5.2, 8.3±4.7, and 6.9±4.4 days, respectively; P<.001). However, there were no statistically significant differences among the groups in the incidence of complications (P=.185), complications more severe than grade II (P=.077), and mortality (P=1.000). Conclusions: Laparoscopic simultaneous organ resection during laparoscopic gastrectomy for gastric cancer prolonged the operation time and hospital stay but did not increase morbidity and mortality. © Copyright 2013, Mary Ann Liebert, Inc. 2013.
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- Appears in
Collections - 2. Clinical Science > Department of Foregut Surgery > 1. Journal Articles
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