Laparoscopic

Autor: Hai-Tao, Hu, Fu-Hai, Ma, Jian-Ping, Xiong, Yang, Li, Peng, Jin, Hao, Liu, Shuai, Ma, Wen-Zhe, Kang, Yan-Tao, Tian
Rok vydání: 2021
Zdroj: World journal of gastrointestinal surgery. 14(2)
ISSN: 1948-9366
Popis: Laparoscopic total gastrectomy (LTG) has drawn increasing attention over the years. Although LTG has shown surgical benefits compared to open TG (OTG) in early stage gastric cancer (GC), little is known about the surgical and oncological outcomes of LTG for advanced GC following neoadjuvant therapy (NAT).To compare the long- and short-term outcomes of advanced GC patients who underwent LTGAdvanced GC patients who underwent TG following NAT between April 2011 and May 2018 at the Cancer Hospital of the Chinese Academy of Medical Sciences were enrolled and stratified into two groups: LTG and OTG. Propensity score matching analysis was performed at a 1:1 ratio to overcome possible bias.In total, 185 patients were enrolled (LTG: 78; OTG: 109). Of these, 138 were paired after propensity score matching. After adjustment for propensity score matching, baseline parameters were similar between the two groups. Compared to OTG, LTG was associated with a significantly shorter length of hospital stay (LTG can be a feasible method for advanced GC patients following NAT, as it appears to be associated with better short- and comparable long-term outcomes compared to OTG.
Databáze: OpenAIRE