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Published on: August 9, 2016
Totally Laparoscopic Total Gastrectomy Versus Laparoscopically Assisted Total Gastrectomy for Gastric Cancer
Eun Young Kim1, Ho Joong Choi1, Jin Beom Cho1
1Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Background:
This study was designed to evaluate the surgical outcomes as well as the morbidity and mortality of totally laparoscopic total gastrectomy (TLTG) compared to laparoscopically-assisted total gastrectomy (LATG), and to confirm the feasibility and safety of TLTG.
Patients And Methods:
Between August 2009 and January 2014, 56 patients underwent laparoscopic total gastrectomy for gastric cancer. Among them, 27 underwent TLTG using a linear stapler and 29 underwent LATG using a circular stapler for esophagojejunostomy.
Results:
Clinicopathological characteristics did not differ significantly between groups, except for stage and tumor size. Anastomotic time and estimated blood loss did not differ significantly. Differences in the number of retrieved lymph nodes and the proximal cut margin were not found to be significant. Early postoperative complications were observed in five patients in both groups. No mortality occurred in either group.
Conclusion:
The outcomes of TLTG are not inferior to those of LATG. TLTG for gastric cancer is technically feasible and safe.
