Clinical influence of endoscopic resection on subsequent laparoscopic gastrectomy for gastric cancer

Endoscopic resection (ER) causes inflammation, edema, fibrosis of the stomach, and severe adhesions around the surrounding tissue. However, little is known about the clinical influence of ER on subsequent laparoscopic gastrectomy (LG) for gastric cancer. Between October 2007 and April 2011, 202 cons...

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Bibliographic Details
Published in:Anticancer research 2013-09, Vol.33 (9), p.4023-4028
Main Authors: Komatsu, Shuhei, Ichikawa, Daisuke, Kubota, Takeshi, Okamoto, Kazuma, Shiozaki, Atsushi, Fujiwara, Hitoshi, Konishi, Hirotaka, Morimura, Ryo, Murayama, Yasutoshi, Kuriu, Yoshiaki, Ikoma, Hisashi, Nakanishi, Masayoshi, Sakakura, Chohei, Ochiai, Toshiya, Otsuji, Eigo
Format: Article
Language:English
Subjects:
Aged
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Male
Middle Aged
Stomach Neoplasms - surgery
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Summary:Endoscopic resection (ER) causes inflammation, edema, fibrosis of the stomach, and severe adhesions around the surrounding tissue. However, little is known about the clinical influence of ER on subsequent laparoscopic gastrectomy (LG) for gastric cancer. Between October 2007 and April 2011, 202 consecutive patients underwent curative LG for gastric cancer. Out of these, 30 (15%) LG cases had previously undergone ER and further LG to achieve a cure. The remaining 172 patients (85%) had no history of ER. We reviewed their hospital records retrospectively. Intraperitoneal adhesions were detected in all patients after ER. However, there were no significant differences in clinical outcome, such as surgical duration, blood loss, number of dissected lymph nodes, complications, or hospital stay, between LG cases with and those without previous ER. Of the 30 cases of LG with previous ER, 15 treated within two months after ER had greater blood loss (p
ISSN:1791-7530