Morbidity and short-term surgical outcomes of robotic versus laparoscopic distal gastrectomy for gastric cancer: a large cohort study

2020 ◽  
Author(s):  
Li Zheng-yan ◽  
Zhao Yong-liang ◽  
Qian Feng ◽  
Shi Yan ◽  
Yu Pei-wu
Keyword(s):  
Gastric Cancer ◽  
Cohort Study ◽  
Surgical Outcomes ◽  
Distal Gastrectomy ◽  
Large Cohort ◽  
Laparoscopic Distal Gastrectomy ◽  
Short Term ◽  
Large Cohort Study

scholarly journals Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255855
Author(s):  
Dong Yeon Kang ◽  
Ho Goon Kim ◽  
Dong Yi Kim
Keyword(s):  
Gastric Cancer ◽  
Cancer Patients ◽  
Surgical Outcomes ◽  
Distal Gastrectomy ◽  
Laparoscopic Distal Gastrectomy ◽  
Obese Patients ◽  
Short Term ◽  
Significant Difference ◽  
Reduced Port ◽  
Gastric Cancer Patients

Background Reduced-port laparoscopic gastrectomy is currently widely performed for patients with gastric cancer. However, its safety in obese patients has not yet been verified. This is the first study on reduced-port laparoscopic distal gastrectomy (RpLDG) in obese patients with gastric cancer. This study aimed to evaluate the short-term surgical outcomes and investigate the feasibility and safety of RpLDG in obese patients with gastric carcinoma. Material and methods A total of 271 gastric cancer patients who underwent RpLDG at our institution were divided into two groups: non-obese [body mass index (BMI) <30 kg/m2, n = 251; NOG] and obese (BMI ≥30 kg/m2, n = 20; OG). The mean age of the enrolled patients was 64.8 ± 11.4 years, with 72.0% being men and 28.0% women. Operative details and short-term surgical outcomes, including hospital course and postoperative complications, were compared by retrospectively reviewing the medical records. Results No significant difference in operation time was found between the NOG and OG (205.9 ± 40.0 vs. 211.3 ± 37.3 minutes, P = 0.563). Other operative outcomes in the OG, including estimated blood loss (54.1 ± 86.1 vs. 54.0 ± 39.0 mL, P = 0.995) and retrieved lymph nodes (36.2 ± 16.4 vs. 35.5 ± 18.2, P = 0.875), were not inferior to those in the NOG. There were also no statistical differences in short-term surgical outcomes, including the incidence of surgical complications (13.9% vs. 10.0%, P = 1). Conclusion RpLDG can be performed safely in obese gastric cancer patients by an experienced surgeon. It should be considered a feasible alternative to conventional port distal gastrectomy.

scholarly journals Comparison of Short-Term Outcomes Between Hand-assisted Laparoscopic Distal Gastrectomy and Laparoscopy-assisted Distal Gastrectomy in Gastric Cancer

2020 ◽  
Vol 30 (3) ◽  
pp. 249-256
Author(s):  
Ken Hagiwara ◽  
Minoru Matsuda ◽  
Shigeoki Hayashi ◽  
Tadatoshi Takayama ◽  
Masahito Ikarashi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Distal Gastrectomy ◽  
Laparoscopic Distal Gastrectomy ◽  
Short Term

scholarly journals Short-Term Outcomes of Laparoscopic Distal Gastrectomy for Advanced Gastric Cancer

2016 ◽  
Vol 63 (1.2) ◽  
pp. 68-73 ◽  
Author(s):  
Masakazu Goto M.D. ◽  
Hiroshi Okitsu M.D., Ph.D ◽  
Yasuhiro Yuasa M.D., Ph.D ◽  
Shunsuke Kuramoto M.D. ◽  
Atsushi Tomibayashi M.D. ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Advanced Gastric Cancer ◽  
Distal Gastrectomy ◽  
Laparoscopic Distal Gastrectomy ◽  
Short Term

scholarly journals The Shortest Distance from the Skin to Pancreas and the Lower Sternum Angle can Influence Short-Term Surgical Outcomes of Laparoscopy-Assisted Distal Gastrectomy for Gastric Cancer

2020 ◽  
Author(s):  
Dong Peng ◽  
Wei Tao ◽  
Yuxi Cheng ◽  
Ying-Ying Zou ◽  
Kun Qian ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Surgical Outcomes ◽  
Distal Gastrectomy ◽  
Subcutaneous Fat ◽  
Short Term ◽  
Xiphoid Process ◽  
Female Patients ◽  
Shortest Distance ◽  
Estimated Blood Loss ◽  
Male Patients

Abstract Background The surgery of laparoscopic distal gastrectomy + D2 lymph node dissection (LADG) is widely used in patients with gastric cancer, the purpose of the study is to explore the effect of abdominal shape on short-term surgical outcomes.Methods This was a retrospective study which included 316 patients undergoing LADG from January 2013 to June 2019 at a single clinical center. The abdominal parameters including the shortest distance of the pancreas from the anterior abdominal skin (PAAD), the lower sternum angle (LSA), the thickness of subcutaneous fat at the navel level (SFT), the anteroposterior diameters (APD) and left-right diameters(LRD) at the navel level, the distance from xiphoid process to the navel (XND), and the distance from xiphoid process to the pubis (XBD) were calculated by preoperative abdominal computed tomography (CT) image. The parameters and short-term surgical outcomes were analyzed.Results In males, the number of retrieved lymph nodes was significantly higher in patients with BMI <25kg/m2 (p=0.023) and APD <176.2mm (p=0.004). The time of operation was significantly shorter in male patients with BMI <25kg/m2(p=0.001), PAAD <64.6mm(p=0.000), SFT <14.9mm(p=0.017), APD <176.2mm(p=0.002) and LRD <290.0mm(p=0.036), and in female patients with XBD >370.0mm(p=0.042). The estimated blood loss was significantly lower in male patients with LSA <83.8° (p=0.009), PAAD <64.6mm(p=0.001), SFT <14.9mm(p=0.001), APD <176.2mm(p=0.009) and LRD <290.0mm(p=0.011). The complications were fewer in male patients with PAAD <64.6mm(p=0.045) and APD <176.2mm(p=0.011), and in female patients with LRD <288.5mm(p=0.047).Conclusion Various abdominal shapes can influence the difficulty of LADG. Lower LSA and PAAD can reduce the difficulty of LADG in male patients.

Abstract A105: Intakes of folate, methionine, and vitamin B6 and B12 and risk of esophageal and gastric cancer in a large cohort study

2012 ◽  
Vol 5 (11 Supplement) ◽  
pp. A105-A105
Author(s):  
Qian Xiao ◽  
Jiansong Ren ◽  
Christian Abnet ◽  
Yikyung Park
Keyword(s):  
Gastric Cancer ◽  
Cohort Study ◽  
Vitamin B6 ◽  
Large Cohort ◽  
Large Cohort Study
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