scholarly journals Comparison of Three Different Minimally Invasive Procedures of Distal Gastrectomy for Nonoverweight Patients with T1N0-1 Gastric Cancer

2013 ◽  
Vol 98 (3) ◽  
pp. 259-265
Author(s):  
Norihiro Haga ◽  
Toru Ishiguro ◽  
Kouki Kuwabara ◽  
Kensuke Kumamoto ◽  
Youichi Kumagai ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Minimally Invasive ◽  
Distal Gastrectomy ◽  
Standard Procedure ◽  
Laparoscopic Approach ◽  
Minimal Invasiveness ◽  
Small Incision ◽  
Laparoscopic Assistance ◽  
Minilaparotomy Approach ◽  
Laparoscopic Assisted

Abstract Laparoscopic-assisted distal gastrectomy has recently come to be a standard procedure for the treatment of early gastric cancer1–5 in select patients. The minimal invasiveness associated with laparoscopic procedures for the resection of gastrointestinal cancer has been repeatedly explained in part by the short incision that is required.6–11 We used two different approaches to perform distal gastrectomies for the resection of gastric cancer as minimally invasive alternatives to a standard laparoscopic approach prior to our surgical team's complete mastery of the skills required for laparoscopic oncological surgery for gastric cancer.9,12 If the minimal invasiveness associated with laparoscopic-assisted gastrectomy can be explained by the small incision, a gastrectomy via a small incision without the use of a pneumoperitoneum may provide a similar outcome in patients. However, to our knowledge, such a comparison has not been previously made. We compared the minimal invasiveness of three different approaches (minilaparotomy, minilaparotomy approach with laparoscopic assistance, and standard laparoscopic-assisted approach) to performing a distal gastrectomy for T1N0-1 gastric cancer in nonoverweight patients (body mass index, ≤25 kg/m2) performed within a limited study period.

Experience of Distal Gastrectomy By Minilaparotomy With Laparoscopic-Assistance for Nonoverweight Patients With T1N0-1 Gastric Cancer

2011 ◽  
Vol 96 (2) ◽  
pp. 104-110 ◽  
Author(s):  
Hideyuki Ishida ◽  
Toru Ishiguro ◽  
Norimichi Okada ◽  
Kensuke Kumamoto ◽  
Keiichiro Ishibashi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Distal Gastrectomy ◽  
Skin Incision ◽  
Protein Levels ◽  
Reactive Protein ◽  
Cell Counts ◽  
Simple Alternative ◽  
Laparoscopic Assistance ◽  
White Blood Cell Counts ◽  
Laparoscopic Assisted

Abstract To evaluate the usefulness of laparoscopic assistance for curative distal gastrectomy by minilaparotomy, 19 patients (body mass index ≤25.0 kg/m2) with T1N0-1 gastric cancer who underwent distal gastrectomy with a minilaparotomy (skin incision ≤7 cm) with laparoscopic assistance (LA (+) group) were compared with 19 historic controls who underwent equivalent surgery by minilaparotomy without laparoscopic assistance (LA (−) group). The percentage of patients with blood loss more than 300 mL tended to be lower in the LA (+) group (5.3% versus 31.6%, P  =  0.09). The first flatus passage was earlier (P  =  0.04), serum C-reactive protein levels on postoperative day 1 were lower (P  =  0.04), and white blood cell counts on postoperative day 1 tended to be lower (P  =  0.07) in the LA (+) group. Minilaparotomy with laparoscopic assistance seems to be less invasive compared with pure minilaparotomy. This procedure is considered to be a simple alternative to standard laparoscopic-assisted distal gastrectomy in selected patients with T1N0-1 gastric cancer.

Short-term outcomes of laparoscopic-assisted distal gastrectomy for gastric cancer during a surgeon’s learning curve period

2009 ◽  
Vol 23 (10) ◽  
pp. 2250-2257 ◽  
Author(s):  
Chang Hak Yoo ◽  
Hyung Ook Kim ◽  
Sang Il Hwang ◽  
Byung Ho Son ◽  
Jun Ho Shin ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Learning Curve ◽  
Distal Gastrectomy ◽  
Short Term ◽  
Laparoscopic Assisted

The short-term outcomes from TOP-G trial: Ramdomized phase II noninferiority trial comparing gastrectomy with omentectomy and omentum preserving gastrectomy for advanced gastric cancer.

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 285-285
Author(s):  
Takanobu Yamada ◽  
Hitoshi Murakami ◽  
Masataka Taguri ◽  
Shinichi Hasegawa ◽  
Takeharu Yamanaka ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Postoperative Complication ◽  
Advanced Gastric Cancer ◽  
Phase Ii ◽  
Standard Procedure ◽  
Laparoscopic Approach ◽  
Operation Time ◽  
Short Term ◽  
Group A ◽  
Group B

285 Background: A complete resection of the omentum has been believed as a standard procedure for advanced gastric cancer. However, there was no evidence for survival significance of omentectomy. Therefore, we conduct the Phase II trial (TOP-G trial) comparing gastrectomy with omentectomy and omentum preserving gastrectomy. Here, we present the short-term outcomes which was a secondary endpoint of TOP-G trial. Methods: Enrollment criteria included histologically confirmed cT2-4a and N0-2 gastric adenocarcinoma. The extent of nodal dissection was performed based on the Gastric Cancer Treatment Guidelines in Japan. All procedure was performed through laparotomy. Laparoscopic approach was not accepted. Surgical outcomes morbidity, and mortality were compared between gastrectomy with omentectomy group (group A) and omentum preserving gastrectomy group (group B). Postoperative complication was evaluated with Clavien-Dindo classification. Results: A total of 251 patients were randomly assigned to group A (n = 125) or group B (n = 126) between April 2011 and October 2018. After excluding patients who received bypass or no surgery, 246 patients were analyzed as actual treatment group. There was no difference between two groups in patient characteristics and pathological findings. There was no difference in operation time (median 244 vs 204 min, p = 0.156) and in blood loss (median 260 vs. 210 ml, p = 0.371). Median number of totally retrieved lymph nodes was similar (median 36 vs. 37, p = 0.758). There was no difference in the incidence of any postoperative complication (28.9% vs. 25.8%, p = 0.584). There was no mortality in both groups. Conclusions: Omentum preserving gastrectomy for advanced gastric cancer was similar short-term outcomes with gastrectomy with omentectomy. Clinical trial information: UMIN000005421.

scholarly journals Totally Robotic Distal Gastrectomy: A Safe and Feasible Minimally Invasive Technique for Gastric Cancer Patients Who Undergo Distal Gastrectomy

2020 ◽  
Vol 37 (5) ◽  
pp. 360-367
Author(s):  
Yong Kuang ◽  
Sanlin Lei ◽  
Hua Zhao ◽  
Beibei Cui ◽  
Kuijie Liu ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Minimally Invasive ◽  
Cancer Patients ◽  
Distal Gastrectomy ◽  
Operating Time ◽  
Disease Free Survival ◽  
Invasive Technique ◽  
Estimated Blood Loss ◽  
Gastric Cancer Patients ◽  
Central South

Purposes: To explore the safety and feasibility of totally robotic distal gastrectomy (TRDG) for gastric cancer patients who undergo distal gastrectomy. Methods: Consecutive patients with gastric cancer who underwent TRDG (TRDG group) and robotic-assisted distal gastrectomy (RADG) (RADG group) were systematically reviewed at the Second Xiangya Hospital of Central South University from October 2015 to August 2018. Data were collected and statistically analyzed. Results: A total of 161 consecutive patients were included in this study: 84 cases in the TRDG group and 77 in the RADG group. Clinical characteristics and pathological results were mostly similar in both groups. The TRDG group had a significantly longer anastomotic time (20.6 ± 3.3 vs. 17.5 ± 4.0 min, p ˂ 0.001) but showed no difference in total operating time (167.0 ± 18.0 vs. 162.9 ± 17.6 min, p = 0.159). The postoperative hospitalization in the TRDG group was shorter than that in the RADG group (6.7 ± 1.2 vs. 7.2 ± 1.7 days, p = 0.019). Conversion rate, estimated blood loss, and postoperative complications were similar in both groups. There were no statistical differences in the estimated 2-year disease-free survival and overall survival rate between both groups. Conclusions: Although our current results need to be verified in further studies, TRDG represents a safe and feasible approach to distal gastrectomy and embodies the theory of minimally invasive surgery.

Laparoscopic assisted distal gastrectomy for early gastric cancer: Is it an alternative to the open approach?

2009 ◽  
Vol 18 (4) ◽  
pp. 322-333 ◽  
Author(s):  
Danny Yakoub ◽  
Thanos Athanasiou ◽  
Paris Tekkis ◽  
George B. Hanna
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Distal Gastrectomy ◽  
Open Approach ◽  
Laparoscopic Assisted
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