Feasibility of laparoscopic gastrectomy with radical lymph node dissection for gastric cancer: from a viewpoint of pancreas-related complications

Surgery
Kazutaka ObamaYoshiharu Sakai

Abstract

There is little evidence for the technical feasibility of laparoscopic gastrectomy (LG) with peripancreatic lymphadenectomy in terms of postoperative complications. To evaluate the technical feasibility of LG with radical lymphadenectomy, we focused on pancreas-related complications in LG and open gastrectomy (OG), and then investigated whether such complications increased in LG. We reviewed the surgical outcomes of 138 consecutive patients with gastric cancer who underwent LG with peripancreatic lymphadenectomy in our hospital between July 2005 and February 2009. As a control group, we used 95 consecutive OG cases with peripancreatic lymphadenectomy without splenectomy or para-aortic lymphadenectomy. LG and OG were compared for clinicopathologic characteristics, operative outcomes, postoperative morbidities and mortalities, and amylase concentration of drainage fluid (d-AMY). The overall operative morbidity rates were 15% in the LG and 20% in the OG group. Rates of postoperative pancreatic fistula (POPF), Grade B and C in the International Study Group on Pancreatic Fistula definition, were 7% in the LG group and 2% in the OG group, indicating no statistical difference (P = .149). There were no in-hospital deaths. The median va...Continue Reading

References

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Citations

May 25, 2012·Journal of Minimal Access Surgery·Theodoros E PavlidisAthanasios K Sakantamis
Oct 14, 2011·Current Opinion in Gastroenterology·Abdulzahra Hussain
Oct 10, 2013·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Chih-Han KungJon A Tsai
Apr 11, 2015·Surgical Endoscopy·Tomoyuki IrinoToshiharu Yamaguchi
Dec 17, 2014·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Shigeru TsunodaYoshiharu Sakai
Aug 26, 2015·Asian Journal of Endoscopic Surgery·Ichiro UyamaTetsu Fukunaga
Mar 7, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hirotaka MiyaiHiromitsu Takeyama
Sep 18, 2014·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Shusuke HarutaIchiro Uyama
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Dec 3, 2014·The Journal of Surgical Research·Ho Seok SeoKyo Young Song
Oct 25, 2013·Journal of Gastric Cancer·Hyeong Won YuHyung-Ho Kim
Feb 27, 2016·Japanese Journal of Clinical Oncology·Souya NunobeNaoki Hiki
Aug 19, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hirokazu NoshiroOsamu Ikeda
Feb 15, 2018·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Satoshi KamiyaToshiharu Yamaguchi
Jan 15, 2013·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hisashi ShinoharaYoshiharu Sakai
Aug 1, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Masanori TokunagaMasanori Terashima
Aug 13, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yuichiro MikiMasanori Terashima
May 8, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Francesco GuerraAndrea Coratti
Jun 5, 2020·Yonago Acta Medica·Tomoyuki MatsunagaYoshiyuki Fujiwara
Jul 13, 2017·Annals of Surgical Oncology·Masahiro TsujiuraToshiharu Yamaguchi
Aug 14, 2019·World Journal of Surgery·Nobuyuki WatanabeMasato Nagino
Dec 16, 2020·Annals of Gastroenterological Surgery·Marie WashioNaoki Hiki
Apr 27, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yuma EbiharaSatoshi Hirano

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