Laparoscopically Assisted Total Gastrectomy with Lymph Node Dissection for Upper and Middle Gastric Cancer

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2008 Jul 3

PMID 18594925

Citations 60

Authors

Erito Mochiki

Yoshitaka Toyomasu

Kyouichi Ogata

Hiroyuki Andoh

Tetsuro Ohno

Ryusuke Aihara

Takayuki Asao

Hiroyuki Kuwano

Affiliations

Soon will be listed here.

Abstract

Background: In recent years, laparoscopic gastrectomy has been applied for the treatment of gastric cancer in Japan and Western countries. This report describes the short- and long-term results for patients with gastric cancer who underwent laparoscopically assisted total gastrectomy (LATG) with lymph node dissection.

Methods: From September 1999 to December 2007, 20 patients underwent LATG, and 18 underwent conventional open total gastrectomy (OTG) for upper and middle gastric cancer. The indications for LATG included depth of tumor invasion limited to the mucosa or submucosa and absence of lymph node metastases in preoperative examinations. The LATG and OTG procedures for gastric cancer were compared in terms of pathologic findings, operative outcome, complications, and survival.

Results: No significant difference was found between LATG and OTG in terms of operation time (254 vs 248 min.), number of lymph nodes (26 vs 35), complication rate (25% vs 17%), or 5-year cumulative survival rate (95% vs 90.9%). Differences between LATG and OTG were found with regard to blood loss (299 vs 758 g) and postoperative hospitalization (19 vs 29 days).

Conclusion: For properly selected patients, laparoscopically assisted total gastrectomy can be a curative and minimally invasive treatment for early gastric cancer.

Citing Articles

Short-Term Outcomes Analysis Comparing Open, Lap-Assisted, Totally Laparoscopic, and Robotic Total Gastrectomy for Gastric Cancer: A Network Meta-Analysis.

Manara M, Aiolfi A, Bonitta G, Schlanger D, Popa C, Lombardo F Cancers (Basel). 2024; 16(19).

PMID: 39410024 PMC: 11475391. DOI: 10.3390/cancers16193404.

Surgical outcomes and prognosis of intracorporeal versus extracorporeal esophagojejunostomy after laparoscopic total gastrectomy for gastric cancer: a propensity score-matching study.

Seo J, Park K, Kim E, Jun K, Chin H Sci Rep. 2024; 14(1):17793.

PMID: 39090191 PMC: 11294522. DOI: 10.1038/s41598-024-67681-8.

Comparison of Short-Term Outcomes After Robotic Versus Laparoscopic Radical Gastrectomy for Advanced Gastric Cancer in Elderly Individuals: A Propensity Score-Matching Study.

Zheng Z, Lin M, Zheng H, Chen Q, Lin J, Xue Z Ann Surg Oncol. 2023; 31(4):2679-2688.

PMID: 38142258 DOI: 10.1245/s10434-023-14808-2.

A nonrandomized controlled trial: long-term outcomes of LATG/LAPG for cStage I gastric cancer: Japan Clinical Oncology Group Study JCOG1401.

Kunisaki C, Katai H, Sakuramoto S, Mizusawa J, Katayama H, Kadoya S Gastric Cancer. 2023; 27(1):164-175.

PMID: 37875696 DOI: 10.1007/s10120-023-01432-y.

[Evidence in minimally invasive oncological gastric surgery].

Ludwig K, Barz C, Scharlau U Chirurg. 2020; 92(4):304-315.

PMID: 33245365 DOI: 10.1007/s00104-020-01315-3.

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