Long-term quality of life after laparoscopy-assisted distal gastrectomy for gastric cancer

Laparoscopy-assisted distal gastrectomy (LAG) is gaining acceptance for treating early gastric cancer. However, the long-term quality of life after LAG for gastric cancer is unknown. This study compared the long-term quality of life after LAG versus open distal gastrectomy (ODG) for early gastric ca...

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Veröffentlicht in:Surgical endoscopy 2007-12, Vol.21 (12), p.2150-2153
Hauptverfasser: YASUDA, K, SHIRAISHI, N, ETOH, T, SHIROMIZU, A, INOMATA, M, KITANO, S
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container_issue 12
container_start_page 2150
container_title Surgical endoscopy
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creator YASUDA, K
SHIRAISHI, N
ETOH, T
SHIROMIZU, A
INOMATA, M
KITANO, S
description Laparoscopy-assisted distal gastrectomy (LAG) is gaining acceptance for treating early gastric cancer. However, the long-term quality of life after LAG for gastric cancer is unknown. This study compared the long-term quality of life after LAG versus open distal gastrectomy (ODG) for early gastric cancer. This study included 53 patients who underwent LAG and 37 patients who underwent ODG for treatment of early gastric cancer. Quality of life was evaluated on the basis of a 22-item questionnaire that addressed food tolerance and mental and physical conditions, scored on a scale of 1-3. The mean follow-up periods after LAG and ODG were 99.3 and 97.0 months, respectively. Although the majority of patients who had undergone LAG were consuming a normal diet and had weight loss of less than 5 kg, all 22 items and the total score of the LAG group were comparable to those of the ODG group. However, the incidence of postoperative intestinal obstruction was significantly lower in the LAG group than in the ODG group (1% vs. 13%, p < 0.05). LAG is equivalent to ODG with respect to long-term quality of life and is associated with a reduced incidence of postoperative intestinal obstruction.
doi_str_mv 10.1007/s00464-007-9322-9
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However, the long-term quality of life after LAG for gastric cancer is unknown. This study compared the long-term quality of life after LAG versus open distal gastrectomy (ODG) for early gastric cancer. This study included 53 patients who underwent LAG and 37 patients who underwent ODG for treatment of early gastric cancer. Quality of life was evaluated on the basis of a 22-item questionnaire that addressed food tolerance and mental and physical conditions, scored on a scale of 1-3. The mean follow-up periods after LAG and ODG were 99.3 and 97.0 months, respectively. Although the majority of patients who had undergone LAG were consuming a normal diet and had weight loss of less than 5 kg, all 22 items and the total score of the LAG group were comparable to those of the ODG group. However, the incidence of postoperative intestinal obstruction was significantly lower in the LAG group than in the ODG group (1% vs. 13%, p &lt; 0.05). LAG is equivalent to ODG with respect to long-term quality of life and is associated with a reduced incidence of postoperative intestinal obstruction.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>17479329</pmid><doi>10.1007/s00464-007-9322-9</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Aged
Biological and medical sciences
Diet
Digestive system. Abdomen
Endoscopy
Female
Follow-Up Studies
Gastrectomy - adverse effects
Gastrectomy - methods
General aspects
Humans
Incidence
Intestinal Obstruction - epidemiology
Intestinal Obstruction - etiology
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy
Male
Medical sciences
Middle Aged
Postoperative Period
Quality of Life
Stomach Neoplasms - surgery
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Weight Loss
title Long-term quality of life after laparoscopy-assisted distal gastrectomy for gastric cancer
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