The Long-Term Results of Distal Gastrectomy by Mini-laparotomy in Early Gastric Cancer Patients

• Published in: Journal of gastrointestinal surgery 2010-12, Vol.14 (12), p.1917-1922
• Main Authors: Jung, Hun, Jeon, Hae Myung, Lee, Han Hong, Song, Kyo Young, Park, Cho Hyun
• Format: Article
• Language: English
• Subjects: Adult; Aged; Cancer; Feasibility Studies; Female; Gastrectomy - methods; Gastroenterology; Humans; Laparotomy - methods; Male; Medicine; Medicine & Public Health; Middle Aged; Original Article; Retrospective Studies; Stomach Neoplasms - surgery; Surgery; Survival Analysis; Time Factors
• ISSN: 1091-255X; 1873-4626
• DOI: 10.1007/s11605-010-1278-8

Introduction Radical distal gastrectomy by mini-laparotomy is an alternative surgical treatment modality with technical feasibility in early gastric cancer (EGC) patients. The aim of this study is to assess the oncologic feasibility of distal gastrectomy by mini-laparotomy in EGC patients through a long-term survival analysis based on the prospectively collected data. Patients and Methods From January 2003 to November 2003, a total of 53 EGC patients who received distal gastrectomy by laparotomy were enrolled in this study. These patients were divided into two groups, that is, the mini-laparotomy group (ML, n  = 22) and the conventional laparotomy group (CL, n  = 31). A comparative long-term survival analysis was performed. Results The hospital stay was significantly shorter in mini-laparotomy group ( P  = 0.002). However, there were no significant differences in the pathologic results such as the resection margin and the number of harvested lymph nodes. In long-term survival results, there were no significant differences in disease-free and overall survival rate of the patients according to the method of laparotomy. Conclusions Radical distal gastrectomy by mini-laparotomy in EGC patients would be also one of the minimally invasive surgical modality in oncologic aspect.