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Article: Comparison of laparoscopic versus open gastrectomy for gastric cancer

TitleComparison of laparoscopic versus open gastrectomy for gastric cancer
Authors
KeywordsLaparoscopic gastrectomy
Open gastrectomy
Gastric cancer
Issue Date2020
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/suronc
Citation
Surgical Oncology, 2020, v. 35, p. 14-21 How to Cite?
AbstractBackground: This study aimed to compare the short-term and long-term outcomes of laparoscopic gastrectomy (LG) and open gastrectomy (OG) for gastric cancer in a tertiary referral center in Hong Kong. Methods: Two hundred and ninety-four consecutive patients with gastric cancer who underwent radical gastrectomy with curative intent between January 2008 and December 2015 were analyzed. Data was prospectively collected and reviewed. Propensity score matching was applied at a ratio of 1:1 to compare the OG and LG groups. Results: After propensity score matching, operation duration (294.7 vs 231.8min, P < 0.01) was significantly longer while estimated blood loss (191.6 vs 351.0 ml, P = 0.01) was significantly less in LG group compared with OG. There were no significant differences in postoperative complications and mortality between LG and OG groups (postoperative complication rate, 35.2% vs 40.7%, P = 0.69; 90-day mortality rate, 1.9% vs 3.7%, P = 1.00). Three-year OS and 3-yr DFS of patients who underwent LG was not inferior to that of patients who had OG (P = 0.34; P = 0.51). However, there were significantly more peritoneal recurrences among the OG group than LG group (P < 0.01). Conclusions: LG has comparable outcomes for gastric cancer, even in advanced tumors. We could appropriately increase the proportion of laparoscopic gastrectomy for gastric cancer.
Persistent Identifierhttp://hdl.handle.net/10722/294169
ISSN
2023 Impact Factor: 2.3
2023 SCImago Journal Rankings: 0.651
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLI, B-
dc.contributor.authorWong, IYH-
dc.contributor.authorChan, FSY-
dc.contributor.authorChan, KK-
dc.contributor.authorWong, CLY-
dc.contributor.authorLaw, TT-
dc.contributor.authorKwok, JYY-
dc.contributor.authorLaw, S-
dc.date.accessioned2020-11-23T08:27:21Z-
dc.date.available2020-11-23T08:27:21Z-
dc.date.issued2020-
dc.identifier.citationSurgical Oncology, 2020, v. 35, p. 14-21-
dc.identifier.issn0960-7404-
dc.identifier.urihttp://hdl.handle.net/10722/294169-
dc.description.abstractBackground: This study aimed to compare the short-term and long-term outcomes of laparoscopic gastrectomy (LG) and open gastrectomy (OG) for gastric cancer in a tertiary referral center in Hong Kong. Methods: Two hundred and ninety-four consecutive patients with gastric cancer who underwent radical gastrectomy with curative intent between January 2008 and December 2015 were analyzed. Data was prospectively collected and reviewed. Propensity score matching was applied at a ratio of 1:1 to compare the OG and LG groups. Results: After propensity score matching, operation duration (294.7 vs 231.8min, P < 0.01) was significantly longer while estimated blood loss (191.6 vs 351.0 ml, P = 0.01) was significantly less in LG group compared with OG. There were no significant differences in postoperative complications and mortality between LG and OG groups (postoperative complication rate, 35.2% vs 40.7%, P = 0.69; 90-day mortality rate, 1.9% vs 3.7%, P = 1.00). Three-year OS and 3-yr DFS of patients who underwent LG was not inferior to that of patients who had OG (P = 0.34; P = 0.51). However, there were significantly more peritoneal recurrences among the OG group than LG group (P < 0.01). Conclusions: LG has comparable outcomes for gastric cancer, even in advanced tumors. We could appropriately increase the proportion of laparoscopic gastrectomy for gastric cancer.-
dc.languageeng-
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/suronc-
dc.relation.ispartofSurgical Oncology-
dc.subjectLaparoscopic gastrectomy-
dc.subjectOpen gastrectomy-
dc.subjectGastric cancer-
dc.titleComparison of laparoscopic versus open gastrectomy for gastric cancer-
dc.typeArticle-
dc.identifier.emailWong, IYH: iyhwong@hku.hk-
dc.identifier.emailWong, CLY: wongcly@hku.hk-
dc.identifier.emailLaw, TT: ttlaw@HKUCC-COM.hku.hk-
dc.identifier.emailKwok, JYY: jyykwok@hkucc.hku.hk-
dc.identifier.emailLaw, S: slaw@hku.hk-
dc.identifier.authorityWong, IYH=rp02293-
dc.identifier.authorityLaw, S=rp00437-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.suronc.2020.06.008-
dc.identifier.pmid32781394-
dc.identifier.scopuseid_2-s2.0-85089521624-
dc.identifier.hkuros320254-
dc.identifier.volume35-
dc.identifier.spage14-
dc.identifier.epage21-
dc.identifier.isiWOS:000599966200004-
dc.publisher.placeUnited Kingdom-

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