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Oncologic Outcomes after Laparoscopic and Open Distal Gastrectomy for Advanced Gastric Cancer: Propensity Score Matching Analysis
- Source :
- Journal of Gastric Cancer
- Publication Year :
- 2019
- Publisher :
- The Korean Gastric Cancer Association, 2019.
-
Abstract
- Purpose This study aimed to compare the oncologic and short-term outcomes of laparoscopic distal gastrectomy (LDG) and open distal gastrectomy (ODG) for advanced gastric cancer (AGC). Materials and methods From July 2006 to November 2016, 384 patients underwent distal gastrectomy for AGC. Data on short- and long-term outcomes were prospectively collected and reviewed. Propensity score matching was applied at a ratio of 1:1 to compare the LDG and ODG groups. Results The operative times were longer for the LDG group than for the ODG group. However, the time to resumption of diet and the 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 2 groups. The 3-year overall survival rates were 98% and 86.9% (P=0.018), and the 3-year recurrence-free survival rates were 86.3% and 75.3% (P=0.259), respectively, in the LDG and ODG groups. Conclusions LDG is safe and feasible for AGC, with earlier recovery after surgery and long-term oncologic outcomes comparable to those of ODG.
- Subjects :
- Cancer Research
medicine.medical_specialty
Disease-free survival
Distal gastrectomy
medicine.medical_treatment
Stomach neoplasms
03 medical and health sciences
0302 clinical medicine
Medicine
Prospective cohort study
Laparoscopy
Survival rate
Lymph node
medicine.diagnostic_test
business.industry
Gastroenterology
Surgery
Dissection
medicine.anatomical_structure
Oncology
030220 oncology & carcinogenesis
Propensity score matching
030211 gastroenterology & hepatology
Gastrectomy
Original Article
business
Subjects
Details
- Language :
- English
- ISSN :
- 20935641 and 2093582X
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Gastric Cancer
- Accession number :
- edsair.doi.dedup.....1d970c0fe441713894679c40f849ed5f