Change of Trend from Open to Laparoscopic Gastrectomy for Locally Advanced Carcinoma Stomach: A Retrospective Single Institution Experience
Keywords :
Blood loss, Carcinoma, Early recovery, Gastrectomy, Laparoscopic, Open gastrectomy, Stomach
Citation Information :
Change of Trend from Open to Laparoscopic Gastrectomy for Locally Advanced Carcinoma Stomach: A Retrospective Single Institution Experience. World J Lap Surg 2023; 16 (2):67-70.
Introduction: Laparoscopic gastrectomy is gaining popularity over open gastrectomy for carcinoma stomach because of better early postoperative outcomes. In most of the studies, it is now evident that laparoscopic gastrectomy has a similar oncological outcome as that of open gastrectomy.
Materials and methods: In this study, we compared the outcomes of laparoscopic and open gastrectomy with D2 lymphadenectomy for locally advanced carcinoma stomach that were done in our institution from January 2015 to December 2019. We analyzed the intraoperative events, complication rate, duration of hospital stay, margin status, nodal yield, and the disease-free interval between the two groups.
Results: In the study period, 43 patients underwent gastrectomy for carcinoma stomach and 28 patients were on regular follow-up. Out of the 28 patients, 13 patients underwent open gastrectomy and 15 patients underwent laparoscopic gastrectomy. The disease-free interval for open gastrectomy was 13.3 months and for laparoscopic gastrectomy, it was 12.9 months. The average hospital stay was 18 days for open gastrectomy, and it was 11 days for laparoscopic gastrectomy with comparable postoperative complication rate, nodal yield, and margin status in histopathological examination.
Conclusion: The long-term oncological outcomes of laparoscopic gastrectomy with D2 lymphadenectomy were comparable with the conventional open surgery for patients with locally advanced gastric cancer with a reduced hospital stay and complication rate.
Kim HH, Han SU, Kim MC, et al. Effect of laparoscopic distal gastrectomy vs open distal gastrectomy on long-term survival among patients with stage I gastric cancer: The KLASS-01 randomized clinical trial. JAMA Oncol 2019;5(4):506–513. DOI: 10.1001/jamaoncol.2018.6727.
https://gco.iarc.fr > population pdf Source: Globocan 2020 - Global Cancer Observatory.
Haverkamp L, Weijs TJ, Van Der Sluis PC, et al. Laparoscopic total gastrectomy versus open total gastrectomy for cancer: A systematic review and meta-analysis. Surg Endosc 2013;27(5):1509–1520. DOI: 10.1007/s00464-012-2661-1.
Brenkman HJF, Ruurda JP, Verhoeven RHA, et al. Safety and feasibility of minimally invasive gastrectomy during the early introduction in the Netherlands: Short-term oncological outcomes comparable to open gastrectomy. Gastric Cancer 2017;20(5):853–860. DOI: 10.1007/s10120-017-0695-8.
Brenkman HJF, Gisbertz SS, Slaman AE, et al. Postoperative Outcomes of Minimally Invasive Gastrectomy Versus Open Gastrectomy During the Early Introduction of Minimally Invasive Gastrectomy in the Netherlands: A Population-based Cohort Study. Ann Surg 2017;266(5):831–838. DOI: 10.1097/SLA.0000000000002391.
Kim W, Kim HH, Han SU, et al. Decreased morbidity of laparoscopic distal gastrectomy compared with open distal gastrectomy for stage i gastric cancer: Short-term outcomes from a multicenter randomized controlled trial (KLASS-01). Ann Surg 2016;263(1):28–35. DOI: 10.1097/SLA.0000000000001346.
Mathis KL, Nelson H. Controversies in laparoscopy for colon and rectal cancer. Surg Oncol Clin N Am 2014;23(1):35–47. DOI: 10.1016/j.soc. 2013.09.006.
Hyung WJ, Yang HK, Park YK, et al. Long-term outcomes of laparoscopic distal gastrectomy for locally advanced gastric cancer: The KLASS-02-RCT Randomized Clinical Trial. J Clin Oncol 2020;38(28):3304–3313. DOI: 10.1200/JCO.20.01210.
van der Veen A, Brenkman HJF, Seesing MFJ, et al. Laparoscopic Versus Open Gastrectomy for Gastric Cancer (LOGICA): A Multicenter Randomized Clinical Trial. J Clin Oncol 2021;39(9):978–989. DOI: 10.1200/JCO.20.01540.
Zeng F, Chen L, Liao M, et al. Laparoscopic versus open gastrectomy for gastric cancer. World J Surg Oncol 2020;18(1):20. DOI: 10.1186/s12957-020-1795-1.
Edge SB, Byrd DR, Compton CC, et al. eds. AJCC Cancer Staging Manual. 7th edition. New York, NY: Springer; 2010.
Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2014 (ver 4). Gastric Cancer 2017;20(1):1–19. DOI: 10.1007/s10120016-0622-4.
Kelly KJ, Selby L, Chou JF, et al. Laparoscopic versus open gastrectomy for gastric adenocarcinoma in the West: A case-control study. Ann Surg Oncol 2015;22(11):3590–3596. DOI: 10.1245/s10434-015-4381-y.
Katai H, Mizusawa J, Katayama H, et al. Short-term surgical outcomes from a phase III study of laparoscopy-assisted versus open distal gastrectomy with nodal dissection for clinical stage IA/IB gastric cancer: Japan Clinical Oncology Group Study JCOG0912. Gastric Cancer 2017;20(4):699–708. DOI: 10.1007/s10120-016-0646-9.
Oba K, Paoletti X, Alberts S, et al. Disease-free survival as a surrogate for overall survival in adjuvant trials of gastric cancer: A meta-analysis. J Natl Cancer Inst 2013;105(21):1600–1607. DOI: 10.1093/jnci/djt270.
Itaimi A, Baraket O, Triki W, et al. Prognostic factors affecting survival and recurrence in gastric carcinoma. Cancer Rep Rev 2018;2(6):1–4. DOI: 10.15761/CRR.1000171.
Maconi G, Kurihara H, Panizzo V, et al. Gastric cancer in young patients with no alarm symptoms: Focus on delay in diagnosis, stage of neoplasm and survival. Scand J Gastroenterol 2003;38(12):1249–1255. DOI: 10.1080/00365520310006360.
Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomized controlled trial. Lancet 2009;373(9678):1874–1882. DOI: 10.1016/S0140-6736(09)60658-9.
Avidan MS, Fritz BA, Maybrier HR, et al. The Prevention of Delirium and Complications Associated with Surgical Treatments (PODCAST) study: Protocol for an international multicentre randomised controlled trial. BMJ Open 2014;4(9):e005651. DOI: 10.1136/bmjopen-2014-005651.
