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Long‐term outcomes after laparoscopy‐assisted gastrectomy for advanced gastric cancer: Analysis of consecutive 106 experiences
Author(s) -
Lee Junhyun,
Kim Wook
Publication year - 2009
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21400
Subject(s) - medicine , gastrectomy , lymphadenectomy , laparoscopy , lymph node , cancer , surgery , retrospective cohort study , lymph , stomach , gastroenterology , pathology
Background and Objectives The purpose of this retrospective study is to suggest the possibility of laparoscopy‐assisted gastrectomy (LAG) for advanced gastric cancer (AGC) through long‐term outcomes. Methods Of 283 patients with gastric cancer who underwent LAG with extraperigastric (D2) lymphadenectomy between January 2004 and February 2009, 106 were pathologically confirmed with AGC and analyzed. Results There were 75 men and 31 women, with a mean age of 61.4 ± 11.7 years. There were 32 total gastrectomies and 74 distal gastrectomies with D2 lymphadenectomy. The mean tumor size was 4.8 ± 2.6 cm. The mean numbers of retrieved and metastatic lymph nodes were 34.3 ± 15.3 and 5.4 ± 8.7, respectively. There was no lymph node metastasis in 44 patients (41.5%), and there were 35 grade T2a, 51 T2b, and 20 T3 lesions. There were 10 operation‐related morbidities (9.4%) and one postoperative death (0.9%) from hepatic failure. The overall and disease‐free survival rates were 81.4% and 72.4%, respectively. Tumors recurred in 17 patients (16.0%) during the follow‐up periods (median 21.5 months; range 2–60). Conclusions LAG for AGC might be considered as a minimally invasive treatment in selected cases, but further study comparing it with open gastrectomy will be needed. J. Surg. Oncol. 2009;100:693–698. © 2009 Wiley‐Liss, Inc.