Laparoscopic Surgery of Gastric Cancer with D2 Lymphadenectomy and Omentum Preservation: Our 10 Years Experience

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Stefano OlmiAyman Ismail

Abstract

Introduction: The debate is still open about laparoscopic treatment of gastric cancer. The aim of this retrospective study is to analyze our short-, medium-, and long-term surgical and oncological results in laparoscopic treatment of gastric cancer with D2 lymphadenectomy and omentum preservation. Materials and Methods: From January 2010 to June 2018, after >150 surgical procedures for gastric cancer performed by minimally invasive approach, we performed 100 laparoscopic subtotal gastrectomies and 38 total gastrectomies, both for early gastric cancer (EGC) and advanced gastric cancer (AGC). We always made a D2 lymphadenectomy or higher. As often as possible, we performed omentum-preserving technique. Primary outcomes analyzed included incidence of medical and surgical complications. Secondary outcomes analyzed were survival probability and incidence of relapse. Every patient read and signed informed consent before surgery. Results: Mean operative time: 2.4 ± 0.7 hours (range 1.2-4.7 hours). Rate of conversions: 14.5% (20/138); intraoperative complications: 1.4% (2/138) and positive resection margins: 6.5% (9/138). Overall incidence of duodenal fistula: 3.6% (5/138). Rate of reoperation was 7.3% (10/138). Postoperative comp...Continue Reading

References

Jan 8, 1999·World Journal of Surgery·M OhgamiM Kitajima
Mar 27, 1999·Surgical Endoscopy·J S AzagraJ Ibañez-Aguirre
Nov 11, 2003·The Journal of Trauma·C Clay CothrenJon M Burch
Jan 2, 2007·Annals of Surgery·Seigo KitanoUNKNOWN Japanese Laparoscopic Surgery Study Group
Feb 13, 2010·Annals of Surgical Oncology·Jyewon SongUNKNOWN Korean Laparoscopic Gastrointestinal Surgery Study (KLASS) Group
Sep 28, 2010·Journal of the American College of Surgeons·Yasuhiro KoderaAkimasa Nakao
Dec 16, 2011·Surgical Endoscopy·Do Joong ParkUNKNOWN Korean Laparoscopic Gastrointestinal Surgery Study (KLASS) Group
Sep 18, 2012·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Shinichi HasegawaMunetaka Masuda
Dec 18, 2012·Japanese Journal of Clinical Oncology·Shinichi HasegawaMunetaka Masuda
Nov 15, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Stefano OlmiGiovanni Cesana

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