Hand-assisted laparoscopic versus open surgery for radical gastrectomy in the treatment of advanced distal gastric cancer: long-term overall and disease-free survival (final results of a single-center study)
| Autor: | Jiaqing Gong, Guode Luo, Xiaohua Wang, Yongkuan Cao, Yajiao Li, YunMing Li, Guangyu Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Laparoscopic surgery
Disease free survival medicine.medical_specialty gastric cancer prognosis Medicine (General) disease-free survival medicine.medical_treatment overall survival Single Center Biochemistry open surgery R5-920 Gastrectomy Stomach Neoplasms medicine Hand assisted Hand-Assisted Laparoscopy Humans advanced gastric cancer Retrospective Studies Radical gastrectomy business.industry Open surgery Biochemistry (medical) Cancer Cell Biology General Medicine Hand-assisted laparoscopy surgery Advanced gastric cancer medicine.disease Surgery Treatment Outcome Lymph Node Excision Laparoscopy business Retrospective Clinical Research Report |
| Zdroj: | Journal of International Medical Research, Vol 49 (2021) The Journal of International Medical Research |
| ISSN: | 1473-2300 |
| Popis: | Objective To compare the surgical effects and long-term efficacy of hand-assisted laparoscopic surgery (HALS) and open surgery (OS) in radical gastrectomy for advanced distal gastric cancer. Methods One hundred twenty-four patients who were admitted to the Department of Gastrointestinal Surgery of the West War Zone General Hospital from May 2008 to April 2012 were randomly divided into a HALS group (n = 62) and an OS group (n = 62). After surgery, 113 patients were followed up for 5 and 8 years, and 11 patients were lost to follow-up. The 5- and 8-year overall survival and disease-free survival rates of the two groups were compared and analyzed. Results The 5- and 8-year overall survival rates were 31.90% and 18.40% in the HALS group and 32.50% and 18.60% in the OS group, respectively. The 5- and 8-year disease-free survival rates were 21.50% and 13.00% in the HALS group and 21.90% and 13.10% in the OS group, respectively. No significant differences were found. Conclusion Hand-assisted laparoscopic radical gastrectomy for advanced distal gastric cancer has the advantages of less severe trauma, less intraoperative blood loss, more rapid postoperative recovery, and equivalent long-term efficacy compared with OS. |
| Databáze: | OpenAIRE |
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