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Long and Short Term Consequences of Laparoscopic Gastrectomy for Gastric Cancer
Toshinaga Nabae*
Department of Surgery, JCHO Kyushu Hospital, Kitakyushu, Japan
Background:
Long and short term results of laparoscopic surgery for gastric cancer is still unclear. The aim of this study is to evaluate the operative results of laparoscopic gastrectomy (LG) for gastric cancer.
Methods:
From January 2006 to July 2015, a total of 773 with gastric cancer underwent LG in our hospital (laparoscopic dital gasterectomy (LDG): 539 cases, laparoscopic total gastrectomy (LTG): 234 cases,) Operative time, blood loss, harvested lymph nodes, postoperative complications (Early complications; anastomotic leakage, pancreatic fistula, Late complications: adhesional ileus, internal hernia, cholecystitis), hospital mortality, postoperative hospital stay, 5-year overall survival (OS) were evaluated retrospectively.
Results:
Mean operating time was 366 minutes (LDG : 345 minutes, LTG :412 minutes) and mean blood loss was 75.3ml (LDG : 62 ml, LTG : 101ml). Mean of the number of harvested lymph node was 39.6 (LDG : 38.1, LTG : 43.1). The rate of early complications was 4.9% (LDG : 4.2%, LTG : 6.4%). Mean postoperative hospital stay was 14.4 days (LDG : 13.0 days, LTG : 16.1 days). The hospital mortality rate was 0.26% (LDG : 0.18%, LTG : 0.42%). The rate of long term complications was 5.4% (LDG : 6.1%, LTG : 3.8%). 5-year OS rate was 91.8% for stage IA disease, 82.4% for stage IB disease, 68.6% for stage II disease, 64.3% for stage IIIA disease, and 44.3% of stage IIIB disease.
Conclusions:
Although our date may be considered preliminary, these findings indicate that LG for gastric cancer may be acceptable procedure.
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