Open AccessComparison of Short-Term Outcomes Between Hand-assisted Laparoscopic Distal Gastrectomy and Laparoscopy-assisted Distal Gastrectomy in Gastric Cancer
Author(s) -
Ken Hagiwara,
Minoru Matsuda,
Shigeoki Hayashi,
Tadatoshi Takayama,
Masahito Ikarashi,
Yoshihiro Matsuno
Publication year - 2020
Publication title -
surgical laparoscopy endoscopy and percutaneous techniques/surgical laparoscopy, endoscopy and percutaneous techniques
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.528
H-Index - 62
eISSN - 1534-4908
pISSN - 1530-4515
DOI - 10.1097/sle.0000000000000768
Subject(s) - medicine , perioperative , laparoscopy , gastrectomy , surgery , cancer , blood loss , laparoscopic surgery , stage (stratigraphy) , general surgery , paleontology , biology
Hand-assisted laparoscopic surgery is considered to provide the benefits of laparoscopic surgery in various diseases. However, limited information is available regarding the feasibility of hand-assisted laparoscopic distal gastrectomy (HALDG)-a subset of hand-assisted laparoscopic surgery-as a gastric cancer treatment. This study aimed to evaluate the usefulness of HALDG compared with laparoscopy-assisted distal gastrectomy (LADG). Consecutive patients who underwent HALDG (n=58) or LADG (n=90) for stage I gastric cancer between 2005 and 2016 were eligible. Operative time was significantly shorter and blood loss was significantly higher in HALDG than in LADG (P<0.001, both). Postoperative aminotransferase levels were significantly lower in HALDG than in LADG (P<0.001). There was no significant difference in perioperative complications, a number of analgesics, postoperative C-reactive protein levels, and 3-year relapse-free and overall survival rates between the groups. This study suggests that HALDG is a safe and feasible approach and could become an effective option for stage I gastric cancer treatment.