Related Experiment Video
Updated: May 11, 2026
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Short-term outcomes of laparoscopic versus open total gastrectomy: a matched-cohort study
Jung Ho Shim1, Seong Il Oh, Han Mo Yoo
1Division of Gastrointestinal Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seocho-gu, Seoul, Korea.
Background:
This study was designed to compare short-term laparoscopic total gastrectomy (LTG) with open total gastrectomy (OTG) outcomes in gastric cancer.
Methods:
Seventy patients who underwent total gastrectomy via LTG or OTG were included. All cases were matched for stage, age, and sex by means of statistically generated selection of all gastrectomies performed during the same period.
Results:
Although the operation time was not longer for LTG, the time required for esophagojejunostomy was significantly longer in LTG than in OTG (43 vs 14 min, P < .05). The incidence of anastomotic complications was higher in the LTG group as well.
Conclusions:
Postoperative complications such as anastomotic leakage and stenosis were observed more frequently in LTG. To improve the safety of esophagojejunostomy in LTG, technical innovations should be pursued.
