Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study
Background The benefits and feasibility of laparoscopic surgery for remnant gastric cancer are still unclear. The purpose of this study was to describe the detailed procedure and to evaluate the clinical short-term outcomes of laparoscopic total gastrectomy (LTG) compared with open total gastrectomy...
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| Veröffentlicht in: | Surgical endoscopy 2014-01, Vol.28 (1), p.289-296 |
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| creator | Nagai, Eishi Nakata, Kohei Ohuchida, Kenoki Miyasaka, Yoshihiro Shimizu, Shuji Tanaka, Masao |
| description | Background
The benefits and feasibility of laparoscopic surgery for remnant gastric cancer are still unclear. The purpose of this study was to describe the detailed procedure and to evaluate the clinical short-term outcomes of laparoscopic total gastrectomy (LTG) compared with open total gastrectomy (OTG) for remnant gastric cancer (RGC).
Methods
Of 1,247 consecutive patients who underwent gastrectomy for gastric cancer in our department at Kyushu University Hospital from January 1996 to May 2012, 22 patients who underwent successful curative resection of RGC with precise nodal dissection were enrolled in this study. Twelve patients underwent LTG and the remaining ten patients underwent OTG. We analyzed the clinical short-term outcomes of LTG and compared the results between LTG and OTG groups to evaluate the safety and feasibility of LTG.
Results
Twelve patients with RGC successfully underwent LTG without open conversion and morbidity. The mean operation time of LTG, 362.3 ± 68.4 min, was significantly longer than that of OTG (
p
= 0.0176), but the mean blood loss of LTG, 65.8 ± 62 g, was smaller than that of OTG (
p
|
| doi_str_mv | 10.1007/s00464-013-3186-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1490745585</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3164875481</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-c1d558f6a48b00f11053992589257f4f88c60b41e0317312d5deca4472a0cf453</originalsourceid><addsrcrecordid>eNp1kMtKxDAUhoMoOl4ewI0U3LipnpNLm7oT8QYDbnQdMmkydOhlTNJF394MVRHBRQgk3_-fw0fIOcI1ApQ3AYAXPAdkOUNZ5NMeWSBnNKcU5T5ZQMUgp2XFj8hxCBtIeIXikBxRnjK8qBZkudRb7Ydghm1jsjhE3WZrHaK3Jg7dlLnBZ952ve7j_J4oo3tj_W3mrA7NqmmbOGUhjvV0Sg6cboM9-7pPyPvjw9v9c758fXq5v1vmhjMZc4O1ENIVmssVgEMEwaqKCplO6biT0hSw4miBYcmQ1qK2RnNeUg3GccFOyNXcu_XDx2hDVF0TjG1b3dthDAp5BSVPM3bo5R90M4y-T9slqoRCIBcyUThTJqkI3jq19U2n_aQQ1E61mlWrpE3tVKspZS6-msdVZ-ufxLfbBNAZCOmrX1v_a_S_rZ-zSoir</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1470651458</pqid></control><display><type>article</type><title>Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Nagai, Eishi ; Nakata, Kohei ; Ohuchida, Kenoki ; Miyasaka, Yoshihiro ; Shimizu, Shuji ; Tanaka, Masao</creator><creatorcontrib>Nagai, Eishi ; Nakata, Kohei ; Ohuchida, Kenoki ; Miyasaka, Yoshihiro ; Shimizu, Shuji ; Tanaka, Masao</creatorcontrib><description>Background
The benefits and feasibility of laparoscopic surgery for remnant gastric cancer are still unclear. The purpose of this study was to describe the detailed procedure and to evaluate the clinical short-term outcomes of laparoscopic total gastrectomy (LTG) compared with open total gastrectomy (OTG) for remnant gastric cancer (RGC).
Methods
Of 1,247 consecutive patients who underwent gastrectomy for gastric cancer in our department at Kyushu University Hospital from January 1996 to May 2012, 22 patients who underwent successful curative resection of RGC with precise nodal dissection were enrolled in this study. Twelve patients underwent LTG and the remaining ten patients underwent OTG. We analyzed the clinical short-term outcomes of LTG and compared the results between LTG and OTG groups to evaluate the safety and feasibility of LTG.
Results
Twelve patients with RGC successfully underwent LTG without open conversion and morbidity. The mean operation time of LTG, 362.3 ± 68.4 min, was significantly longer than that of OTG (
p
= 0.0176), but the mean blood loss of LTG, 65.8 ± 62 g, was smaller than that of OTG (
p
< 0.01). The mean postoperative times to resumption of water and food intake were significantly shorter in the LTG group than in the OTG group (
p
< 0.01). The overall 3-year survival rate was comparable between the LTG and OTG groups (77.8 vs. 100 %;
p
= 0.9406).
Conclusions
This study shows that LTG is a feasible and reliable procedure for the treatment of RGC in terms of short-term outcomes.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-013-3186-y</identifier><identifier>PMID: 24013469</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Abdomen ; Abdominal Surgery ; Aged ; Carcinoma - secondary ; Connective tissue ; Dissection ; Feasibility Studies ; Female ; Gastrectomy - methods ; Gastric cancer ; Gastric Stump ; Gastroenterology ; Gastrointestinal surgery ; Gynecology ; Hepatology ; Humans ; Laparoscopy ; Laparoscopy - methods ; Liver Neoplasms - secondary ; Lymph Node Excision ; Lymphatic Metastasis ; Male ; Medical prognosis ; Medicine ; Medicine & Public Health ; Metastasis ; Middle Aged ; Neoplasm Staging ; Patients rights ; Proctology ; Small intestine ; Stomach Neoplasms - mortality ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Surgery ; Survival Rate ; Treatment Outcome ; Ultrasonic imaging</subject><ispartof>Surgical endoscopy, 2014-01, Vol.28 (1), p.289-296</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-c1d558f6a48b00f11053992589257f4f88c60b41e0317312d5deca4472a0cf453</citedby><cites>FETCH-LOGICAL-c438t-c1d558f6a48b00f11053992589257f4f88c60b41e0317312d5deca4472a0cf453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-013-3186-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-013-3186-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24013469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagai, Eishi</creatorcontrib><creatorcontrib>Nakata, Kohei</creatorcontrib><creatorcontrib>Ohuchida, Kenoki</creatorcontrib><creatorcontrib>Miyasaka, Yoshihiro</creatorcontrib><creatorcontrib>Shimizu, Shuji</creatorcontrib><creatorcontrib>Tanaka, Masao</creatorcontrib><title>Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
The benefits and feasibility of laparoscopic surgery for remnant gastric cancer are still unclear. The purpose of this study was to describe the detailed procedure and to evaluate the clinical short-term outcomes of laparoscopic total gastrectomy (LTG) compared with open total gastrectomy (OTG) for remnant gastric cancer (RGC).
Methods
Of 1,247 consecutive patients who underwent gastrectomy for gastric cancer in our department at Kyushu University Hospital from January 1996 to May 2012, 22 patients who underwent successful curative resection of RGC with precise nodal dissection were enrolled in this study. Twelve patients underwent LTG and the remaining ten patients underwent OTG. We analyzed the clinical short-term outcomes of LTG and compared the results between LTG and OTG groups to evaluate the safety and feasibility of LTG.
Results
Twelve patients with RGC successfully underwent LTG without open conversion and morbidity. The mean operation time of LTG, 362.3 ± 68.4 min, was significantly longer than that of OTG (
p
= 0.0176), but the mean blood loss of LTG, 65.8 ± 62 g, was smaller than that of OTG (
p
< 0.01). The mean postoperative times to resumption of water and food intake were significantly shorter in the LTG group than in the OTG group (
p
< 0.01). The overall 3-year survival rate was comparable between the LTG and OTG groups (77.8 vs. 100 %;
p
= 0.9406).
Conclusions
This study shows that LTG is a feasible and reliable procedure for the treatment of RGC in terms of short-term outcomes.</description><subject>Abdomen</subject><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Carcinoma - secondary</subject><subject>Connective tissue</subject><subject>Dissection</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gastrectomy - methods</subject><subject>Gastric cancer</subject><subject>Gastric Stump</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Liver Neoplasms - secondary</subject><subject>Lymph Node Excision</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Patients rights</subject><subject>Proctology</subject><subject>Small intestine</subject><subject>Stomach Neoplasms - mortality</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Surgery</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMtKxDAUhoMoOl4ewI0U3LipnpNLm7oT8QYDbnQdMmkydOhlTNJF394MVRHBRQgk3_-fw0fIOcI1ApQ3AYAXPAdkOUNZ5NMeWSBnNKcU5T5ZQMUgp2XFj8hxCBtIeIXikBxRnjK8qBZkudRb7Ydghm1jsjhE3WZrHaK3Jg7dlLnBZ952ve7j_J4oo3tj_W3mrA7NqmmbOGUhjvV0Sg6cboM9-7pPyPvjw9v9c758fXq5v1vmhjMZc4O1ENIVmssVgEMEwaqKCplO6biT0hSw4miBYcmQ1qK2RnNeUg3GccFOyNXcu_XDx2hDVF0TjG1b3dthDAp5BSVPM3bo5R90M4y-T9slqoRCIBcyUThTJqkI3jq19U2n_aQQ1E61mlWrpE3tVKspZS6-msdVZ-ufxLfbBNAZCOmrX1v_a_S_rZ-zSoir</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Nagai, Eishi</creator><creator>Nakata, Kohei</creator><creator>Ohuchida, Kenoki</creator><creator>Miyasaka, Yoshihiro</creator><creator>Shimizu, Shuji</creator><creator>Tanaka, Masao</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study</title><author>Nagai, Eishi ; Nakata, Kohei ; Ohuchida, Kenoki ; Miyasaka, Yoshihiro ; Shimizu, Shuji ; Tanaka, Masao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-c1d558f6a48b00f11053992589257f4f88c60b41e0317312d5deca4472a0cf453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdomen</topic><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Carcinoma - secondary</topic><topic>Connective tissue</topic><topic>Dissection</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gastrectomy - methods</topic><topic>Gastric cancer</topic><topic>Gastric Stump</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Liver Neoplasms - secondary</topic><topic>Lymph Node Excision</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Patients rights</topic><topic>Proctology</topic><topic>Small intestine</topic><topic>Stomach Neoplasms - mortality</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Surgery</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagai, Eishi</creatorcontrib><creatorcontrib>Nakata, Kohei</creatorcontrib><creatorcontrib>Ohuchida, Kenoki</creatorcontrib><creatorcontrib>Miyasaka, Yoshihiro</creatorcontrib><creatorcontrib>Shimizu, Shuji</creatorcontrib><creatorcontrib>Tanaka, Masao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagai, Eishi</au><au>Nakata, Kohei</au><au>Ohuchida, Kenoki</au><au>Miyasaka, Yoshihiro</au><au>Shimizu, Shuji</au><au>Tanaka, Masao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>28</volume><issue>1</issue><spage>289</spage><epage>296</epage><pages>289-296</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
The benefits and feasibility of laparoscopic surgery for remnant gastric cancer are still unclear. The purpose of this study was to describe the detailed procedure and to evaluate the clinical short-term outcomes of laparoscopic total gastrectomy (LTG) compared with open total gastrectomy (OTG) for remnant gastric cancer (RGC).
Methods
Of 1,247 consecutive patients who underwent gastrectomy for gastric cancer in our department at Kyushu University Hospital from January 1996 to May 2012, 22 patients who underwent successful curative resection of RGC with precise nodal dissection were enrolled in this study. Twelve patients underwent LTG and the remaining ten patients underwent OTG. We analyzed the clinical short-term outcomes of LTG and compared the results between LTG and OTG groups to evaluate the safety and feasibility of LTG.
Results
Twelve patients with RGC successfully underwent LTG without open conversion and morbidity. The mean operation time of LTG, 362.3 ± 68.4 min, was significantly longer than that of OTG (
p
= 0.0176), but the mean blood loss of LTG, 65.8 ± 62 g, was smaller than that of OTG (
p
< 0.01). The mean postoperative times to resumption of water and food intake were significantly shorter in the LTG group than in the OTG group (
p
< 0.01). The overall 3-year survival rate was comparable between the LTG and OTG groups (77.8 vs. 100 %;
p
= 0.9406).
Conclusions
This study shows that LTG is a feasible and reliable procedure for the treatment of RGC in terms of short-term outcomes.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24013469</pmid><doi>10.1007/s00464-013-3186-y</doi><tpages>8</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 2014-01, Vol.28 (1), p.289-296 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdomen Abdominal Surgery Aged Carcinoma - secondary Connective tissue Dissection Feasibility Studies Female Gastrectomy - methods Gastric cancer Gastric Stump Gastroenterology Gastrointestinal surgery Gynecology Hepatology Humans Laparoscopy Laparoscopy - methods Liver Neoplasms - secondary Lymph Node Excision Lymphatic Metastasis Male Medical prognosis Medicine Medicine & Public Health Metastasis Middle Aged Neoplasm Staging Patients rights Proctology Small intestine Stomach Neoplasms - mortality Stomach Neoplasms - pathology Stomach Neoplasms - surgery Surgery Survival Rate Treatment Outcome Ultrasonic imaging |
| title | Laparoscopic total gastrectomy for remnant gastric cancer: feasibility study |
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