Short-term Outcomes of Pylorus-Preserving Gastrectomy for Early Gastric Cancer: Comparison Between Extracorporeal and Intracorporeal Gastrogastrostomy
- Authors
- Alzahrani, Khalid; Park, Ji-Hyeon; Lee, Hyuk-Joon; Park, Shin-Hoo; Choi, Jong-Ho; Wang, Chaojie; Alzahrani, Fadhel; Suh, Yun-Suhk; Kong, Seong-Ho; Park, Do Joong; Yang, Han-Kwang
- Issue Date
- Apr-2022
- Publisher
- 대한위암학회
- Keywords
- Function-preserving gastrectomy; Early gastric cancer; Intracorporeal anastomosis; Extracorporeal anastomosis
- Citation
- Journal of Gastric Cancer, v.22, no.2, pp 135 - 144
- Pages
- 10
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- Journal of Gastric Cancer
- Volume
- 22
- Number
- 2
- Start Page
- 135
- End Page
- 144
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61034
- DOI
- 10.5230/jgc.2022.22.e16
- ISSN
- 2093-582X
2093-5641
- Abstract
- Purpose
This study aimed to compare the surgical and oncological outcomes between totally laparoscopic pylorus-preserving gastrectomy (TLPPG) with intracorporeal anastomosis and laparoscopy-assisted pylorus-preserving gastrectomy (LAPPG) with extracorporeal anastomosis.
Materials and Methods
A retrospective analysis was performed in 258 patients with cT1N0 gastric cancer who underwent laparoscopic pylorus-preserving gastrectomy using two different anastomosis methods: TLPPG with intracorporeal anastomosis (n=88) and LAPPG with extracorporeal anastomosis (n=170). The following variables were compared between the two groups to assess the postoperative surgical and oncological outcomes: proximal and distal margins, number of resected lymph nodes (LNs) in total and in LN station 6, operation time, postoperative hospital stay, and postoperative morbidity including delayed gastric emptying (DGE).
Results
The average length of the proximal margin was similar between the TLPPG and LAPPG groups (2.35 vs. 2.73 cm, P=0.070). Although the distal margin was significantly shorter in the TLPPG group than in the LAPPG group (3.15 vs. 4.08 cm, P=0.001), no proximal or distal resection margin-positive cases were reported in either group. The average number of resected LN was similar in both groups (36.0 vs. 33.98, P=0.229; LN station 6, 5.72 vs. 5.33, P=0.399). The operation time was shorter in the TLPPG group than in the LAPPG (200.17 vs. 220.80 minutes, P=0.001). No significant differences were observed between the two groups in terms of postoperative hospital stay (9.38 vs. 10.10 days, P=0.426) and surgical complication rate (19.3% vs. 22.9%), including DGE (8.0% vs. 11.8%, P=0.343).
Conclusions
The oncological safety and postoperative complications of TLPPG with intracorporeal anastomosis are similar to those of LAPPG with extracorporeal anastomosis.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 2. Clinical Science > Department of Foregut Surgery > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.