The effects of laparoscopic assisted total gastrectomy on surgical outcomes in the treatment of gastric cancer

Min Gyu Kim, Beom Su Kim, Tae Hwan Kim, Kap Choong Kim, Jeong Hwan Yook, Byung Sik Kim

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Purpose: To evaluate the effectiveness of laparoscopic assisted total gastrectomy (LATG), we compared its early surgical outcomes with those of conventional open total gastrectomy (OTG) in patients who were diagnosed as having early gastric cancer preoperatively. Methods: We retrospectively analyzed early surgical outcomes in 190 consecutive patients who underwent total gastrectomy for early gastric cancer between January 2009 to April 2010. The patients were divided into those who underwent LATG and those who underwent OTG. Their early surgical outcomes were analyzed to evaluate the effectiveness of LATG. Results: There was no significant difference in postoperative complication rates (P = 0.291). But in the analysis of other early surgical outcomes, we found that LATG could improve time to first flatus (P < 0.001), time to commencement of soft diet (P = 0.034), administration of analgesics (P = 0.024), pain score (Numeric Rating Scale), and hospital discharge (P = 0.045). Conclusion: Although LATG didn't show better results for postoperative complications than those of OTG, LATG contributes to the improvement of early surgical outcomes, including bowel movement, pain score and hospital discharge. Therefore, we suggest that LATG could be a method to improve early surgical outcomes in patients who need total gastrectomy.

Original languageEnglish
Pages (from-to)245-250
Number of pages6
JournalJournal of the Korean Surgical Society
Volume80
Issue number4
DOIs
StatePublished - 2011 Apr 1

Fingerprint

Gastrectomy
Stomach Neoplasms
Flatulence
Pain
Analgesics
Diet

Keywords

  • Early gastric cancer
  • Laparoscopic assisted total gastrectomy
  • Open total gastrectomy

Cite this

Kim, Min Gyu ; Kim, Beom Su ; Kim, Tae Hwan ; Kim, Kap Choong ; Yook, Jeong Hwan ; Kim, Byung Sik. / The effects of laparoscopic assisted total gastrectomy on surgical outcomes in the treatment of gastric cancer. In: Journal of the Korean Surgical Society. 2011 ; Vol. 80, No. 4. pp. 245-250.
@article{df73bd0d4adf4493ba186fc6720805c7,
title = "The effects of laparoscopic assisted total gastrectomy on surgical outcomes in the treatment of gastric cancer",
abstract = "Purpose: To evaluate the effectiveness of laparoscopic assisted total gastrectomy (LATG), we compared its early surgical outcomes with those of conventional open total gastrectomy (OTG) in patients who were diagnosed as having early gastric cancer preoperatively. Methods: We retrospectively analyzed early surgical outcomes in 190 consecutive patients who underwent total gastrectomy for early gastric cancer between January 2009 to April 2010. The patients were divided into those who underwent LATG and those who underwent OTG. Their early surgical outcomes were analyzed to evaluate the effectiveness of LATG. Results: There was no significant difference in postoperative complication rates (P = 0.291). But in the analysis of other early surgical outcomes, we found that LATG could improve time to first flatus (P < 0.001), time to commencement of soft diet (P = 0.034), administration of analgesics (P = 0.024), pain score (Numeric Rating Scale), and hospital discharge (P = 0.045). Conclusion: Although LATG didn't show better results for postoperative complications than those of OTG, LATG contributes to the improvement of early surgical outcomes, including bowel movement, pain score and hospital discharge. Therefore, we suggest that LATG could be a method to improve early surgical outcomes in patients who need total gastrectomy.",
keywords = "Early gastric cancer, Laparoscopic assisted total gastrectomy, Open total gastrectomy",
author = "Kim, {Min Gyu} and Kim, {Beom Su} and Kim, {Tae Hwan} and Kim, {Kap Choong} and Yook, {Jeong Hwan} and Kim, {Byung Sik}",
year = "2011",
month = "4",
day = "1",
doi = "10.4174/jkss.2011.80.4.245",
language = "English",
volume = "80",
pages = "245--250",
journal = "Journal of the Korean Surgical Society",
issn = "1226-0053",
number = "4",

}

The effects of laparoscopic assisted total gastrectomy on surgical outcomes in the treatment of gastric cancer. / Kim, Min Gyu; Kim, Beom Su; Kim, Tae Hwan; Kim, Kap Choong; Yook, Jeong Hwan; Kim, Byung Sik.

In: Journal of the Korean Surgical Society, Vol. 80, No. 4, 01.04.2011, p. 245-250.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The effects of laparoscopic assisted total gastrectomy on surgical outcomes in the treatment of gastric cancer

AU - Kim, Min Gyu

AU - Kim, Beom Su

AU - Kim, Tae Hwan

AU - Kim, Kap Choong

AU - Yook, Jeong Hwan

AU - Kim, Byung Sik

PY - 2011/4/1

Y1 - 2011/4/1

N2 - Purpose: To evaluate the effectiveness of laparoscopic assisted total gastrectomy (LATG), we compared its early surgical outcomes with those of conventional open total gastrectomy (OTG) in patients who were diagnosed as having early gastric cancer preoperatively. Methods: We retrospectively analyzed early surgical outcomes in 190 consecutive patients who underwent total gastrectomy for early gastric cancer between January 2009 to April 2010. The patients were divided into those who underwent LATG and those who underwent OTG. Their early surgical outcomes were analyzed to evaluate the effectiveness of LATG. Results: There was no significant difference in postoperative complication rates (P = 0.291). But in the analysis of other early surgical outcomes, we found that LATG could improve time to first flatus (P < 0.001), time to commencement of soft diet (P = 0.034), administration of analgesics (P = 0.024), pain score (Numeric Rating Scale), and hospital discharge (P = 0.045). Conclusion: Although LATG didn't show better results for postoperative complications than those of OTG, LATG contributes to the improvement of early surgical outcomes, including bowel movement, pain score and hospital discharge. Therefore, we suggest that LATG could be a method to improve early surgical outcomes in patients who need total gastrectomy.

AB - Purpose: To evaluate the effectiveness of laparoscopic assisted total gastrectomy (LATG), we compared its early surgical outcomes with those of conventional open total gastrectomy (OTG) in patients who were diagnosed as having early gastric cancer preoperatively. Methods: We retrospectively analyzed early surgical outcomes in 190 consecutive patients who underwent total gastrectomy for early gastric cancer between January 2009 to April 2010. The patients were divided into those who underwent LATG and those who underwent OTG. Their early surgical outcomes were analyzed to evaluate the effectiveness of LATG. Results: There was no significant difference in postoperative complication rates (P = 0.291). But in the analysis of other early surgical outcomes, we found that LATG could improve time to first flatus (P < 0.001), time to commencement of soft diet (P = 0.034), administration of analgesics (P = 0.024), pain score (Numeric Rating Scale), and hospital discharge (P = 0.045). Conclusion: Although LATG didn't show better results for postoperative complications than those of OTG, LATG contributes to the improvement of early surgical outcomes, including bowel movement, pain score and hospital discharge. Therefore, we suggest that LATG could be a method to improve early surgical outcomes in patients who need total gastrectomy.

KW - Early gastric cancer

KW - Laparoscopic assisted total gastrectomy

KW - Open total gastrectomy

UR - http://www.scopus.com/inward/record.url?scp=79958061905&partnerID=8YFLogxK

U2 - 10.4174/jkss.2011.80.4.245

DO - 10.4174/jkss.2011.80.4.245

M3 - Article

C2 - 22066043

AN - SCOPUS:79958061905

VL - 80

SP - 245

EP - 250

JO - Journal of the Korean Surgical Society

JF - Journal of the Korean Surgical Society

SN - 1226-0053

IS - 4

ER -