Long-term functional outcomes of Roux-en-Y versus Billroth I reconstructions after laparoscopic distal gastrectomy for gastric cancer: a propensity-score matching analysis

2018 ◽  
Vol 32 (11) ◽  
pp. 4465-4471 ◽  
Author(s):  
Keisuke Okuno ◽  
Masatoshi Nakagawa ◽  
Kazuyuki Kojima ◽  
Emi Kanemoto ◽  
Kentaro Gokita ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Functional Outcomes ◽  
Distal Gastrectomy ◽  
Laparoscopic Distal Gastrectomy ◽  
Billroth I ◽  
Propensity Score Matching Analysis

scholarly journals Oncologic outcomes after laparoscopic and open distal gastrectomy for advanced gastric cancer: A propensity score matching analysis.

2019 ◽  
Vol 37 (4_suppl) ◽  
pp. 135-135
Author(s):  
Yoona Chung ◽  
Sung Il Choi ◽  
Kyungpyo Hong ◽  
Sanghyun Kim
Keyword(s):  
Gastric Cancer ◽  
Propensity Score ◽  
Advanced Gastric Cancer ◽  
Propensity Score Matching ◽  
Distal Gastrectomy ◽  
Laparoscopic Distal Gastrectomy ◽  
Oncologic Outcomes ◽  
Open Distal Gastrectomy ◽  
Propensity Score Matching Analysis

135 Background: The aim of this study is to investigate the oncologic outcomes as well as short-term outcomes of laparoscopic distal gastrectomy compared with open distal gastrectomy for advanced gastric cancer using propensity-score matching analysis. Methods: A total of 384 patients underwent distal gastrectomy for advanced gastric cancer from July 2006 to November 2016. Data on short- and long-term outcomes were collected prospectively and reviewed. Propensity-score matching was applied at a ratio of 1:1 comparing the laparoscopic distal gastrectomy (LDG) group and open distal gastrectomy (ODG) groups. Results: The LDG group showed longer operative time than the ODG group. However, resumption of diet and length of hospital stay were shorter in the LDG group than in the ODG group (4.7 vs. 5.6 days, p= 0.049 and 9.6 vs. 11.5 days, p= 0.035, respectively).The extent of lymph node dissection in the LDG group was more limited than in the ODG group ( p= 0.002), although there was no difference in the number of retrieved lymph nodes between the two groups. The 3-year overall survival rates were 98% and 86.9% ( p= 0.018), whereas the 3-year recurrence-free survival were 86.3% and 75.3%, p= 0.259) in the LDG and the ODG groups. Conclusions: Laparoscopic distal gastrectomy is safe and feasible for advanced gastric cancer in terms of earlier recovery after surgery and long-term oncologic outcomes.

Sign in / Sign up

Export Citation Format

Share Document