Laparoscopic Versus Open Subtotal Gastrectomy for Adenocarcinoma: A Case–Control Study

Objective The aim of this study is to compare technical feasibility and oncologic efficacy of totally laparoscopic versus open subtotal gastrectomy for gastric adenocarcinoma. Background Laparoscopic gastrectomy for adenocarcinoma is emerging in the West as a technique that may offer benefits for pa...

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Bibliographic Details
Published in:Annals of surgical oncology 2009-06, Vol.16 (6), p.1507-1513
Main Authors: Strong, Vivian E., Devaud, Nicolas, Allen, Peter J., Gonen, Mithat, Brennan, Murray F., Coit, Daniel
Format: Article
Language:English
Subjects:
Adenocarcinoma - surgery
Adult
Aged
Aged, 80 and over
Case-Control Studies
Feasibility Studies
Female
Gastrectomy - methods
Gastrointestinal Oncology
Humans
Laparoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Stomach Neoplasms - surgery
Surgery
Surgical Oncology
Treatment Outcome
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Summary:Objective The aim of this study is to compare technical feasibility and oncologic efficacy of totally laparoscopic versus open subtotal gastrectomy for gastric adenocarcinoma. Background Laparoscopic gastrectomy for adenocarcinoma is emerging in the West as a technique that may offer benefits for patients, although large-scale studies are lacking. Methods This study was designed as a case-controlled study from a prospective gastric cancer database. Thirty consecutive patients undergoing laparoscopic subtotal gastrectomy for adenocarcinoma were compared with 30 patients undergoing open subtotal gastrectomy. Controls were matched for stage, age, and gender via a statistically generated selection of all gastrectomies performed during the same period of time. Patient demographics, tumor–node–metastasis (TNM) stage, histologic features, location of tumor, lymph node retrieval, recurrence, margins, and early and late postoperative complications were compared. Results Tumor location and histology were similar between the two groups. Median operative time for the laparoscopic approach was 270 min (range 150–485 min) compared with median of 126 min (range 85–205 min) in the open group ( p  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-009-0386-8