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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Laparoscopic versus open gastrectomy for gastric cancer
Furong Zeng1, Lang Chen1, Mengting Liao1
1Xiangya hospital, Central South University, Changsha, China.
World Journal of Surgical Oncology
|January 29, 2020
Summary
Laparoscopic gastrectomy (LG) is comparable to open gastrectomy (OG) for gastric cancer regarding oncological outcomes. LG shows advantages in secondary outcomes like reduced complications and shorter hospital stays, making it a superior option.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopic gastrectomy (LG) has gained popularity for gastric cancer treatment.
- Debates persist regarding its long-term oncological outcomes compared to open gastrectomy (OG).
Purpose of the Study:
- To compare the oncological and clinical outcomes of LG versus OG in gastric cancer patients.
- To provide a comprehensive analysis of recurrence and mortality rates for both procedures.
Main Methods:
- Meta-analysis of 17 randomized controlled trials involving 5204 participants.
- Extracted data and calculated risk ratios, mean differences, and hazard ratios.
- Utilized Review Manager 5.3 and STATA for statistical analysis.
Main Results:
- No significant differences were observed in primary outcomes: lymph node harvest, severe complications, recurrence, and mortality.
- LG required longer operative time but resulted in less blood loss, analgesic use, and shorter hospital stays.
- LG also led to faster recovery in terms of flatus, ambulation, and oral intake, with fewer total complications.
Conclusions:
- Laparoscopic gastrectomy (LG) demonstrates comparable oncological efficacy to open gastrectomy (OG) for gastric cancer.
- LG offers significant advantages in several secondary outcomes, supporting its superiority for patient recovery.
