Laparoscopic versus open subtotal gastrectomy for adenocarcinoma of the stomach in a Western population: peri-operative and 5-year oncological outcomes
| Autor: | Piers A.C. Gatenby, Sanja Durakovic, Nima Abbassi-Ghadi, Javed Sultan, Shaun R. Preston, Guillaume Piessen |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Population Adenocarcinoma 03 medical and health sciences 0302 clinical medicine Gastrectomy Stomach Neoplasms medicine Humans education Lymph node Aged Neoplasm Staging Retrospective Studies Aged 80 and over education.field_of_study Univariate analysis business.industry Incidence Stomach Perioperative Middle Aged medicine.disease United Kingdom Intention to Treat Analysis Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Female Laparoscopy 030211 gastroenterology & hepatology business Follow-Up Studies Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 34:3818-3826 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-019-07146-6 |
| Popis: | This study compares the peri-operative and long-term oncological outcomes for laparoscopic subtotal gastrectomy (LSG) versus open subtotal gastrectomy (OSG) for adenocarcinoma of the stomach in a Western population. A retrospective, intention-to-treat analysis study was conducted for consecutive patients undergoing gastrectomy with curative intent for adenocarcinoma of the stomach between November 2006 and October 2016. Univariate analysis was used to compare peri-operative outcomes between LSG and OSG. Logistic regression with bootstrapping validation was used to identify independent risk factors for predicting 2-year overall survival. The final analysis included 79 patients. When comparing LSG (n = 30) to OSG (n = 49), there was no difference in the number of resected lymph nodes (36 (IQR 24.3–44) vs. 42 (IQR 28–59), p = 0.165), a reduction in intra-operative blood loss (150 ml (IQR 100–250) vs. 553 ml (IQR 338–1075), p |
| Databáze: | OpenAIRE |
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