Long-term quality of life after laparoscopically assisted distal gastrectomy for gastric cancer

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Naoki IkenagaShoshu Mitsuyama

Abstract

To investigate whether laparoscopically assisted distal gastrectomy (LADG) contributes to long-term quality of life as compared to open gastrectomy in patients with early-stage gastric cancer. Quality of life was self-reported using a 15-item questionnaire with five options for each question. The responses obtained from 47 LADG patients and 33 conventional open gastrectomy patients were compared. All patients underwent Billroth I gastrectomy for early gastric cancer between September 1999 and October 2002. Patients who underwent LADG showed better results than those who underwent the open procedure with regard to satisfaction with the operation (87.2% vs. 57.6%; P < 0.01). However, the rate of late complications such as delayed gastric emptying was higher in the LADG group than in the open group (40.4% vs. 18.2%; P < 0.05). No differences were observed between the LADG and open groups with regard to appetite loss, heartburn, diarrhea, or difficulty in swallowing. LADG has an equivocal effect on long-term quality of life. Satisfaction with the surgical procedure was greater in patients who underwent the LADG method; however, complications that impaired the quality of life were also seen. The usefulness of LADG should be assessed...Continue Reading

References

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Citations

Mar 26, 2008·Surgical Endoscopy·Isao NozakiShigemitsu Takashima
Apr 18, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Qiuye ChengVincent W T Lam
Dec 18, 2013·The American Journal of Gastroenterology·Puja KhannaBrennan Mr Spiegel
Apr 9, 2011·World Journal of Surgery·Keisuke KoedaGo Wakabayashi
Jun 15, 2007·Surgical Oncology·Khalid ShehzadMuhammed Ashraf Memon
Mar 18, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Alberto PatritiLuciano Casciola
May 8, 2014·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Kazunari MisawaYasuhiro Kodera
May 15, 2013·Journal of Neurogastroenterology and Motility·Brennan M R Spiegel
Dec 16, 2006·World Journal of Gastroenterology : WJG·Shunsuke HosonoYoshitetsu Kanamiya

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