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Oncologic Outcomes after Laparoscopic and Open Distal Gastrectomy for Advanced Gastric Cancer: Propensity Score Matching Analysis
Article in English | WPRIM (Western Pacific) | ID: wprim-740308
Responsible library: WPRO
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.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Stomach Neoplasms / Humans / Survival Rate / Prospective Studies / Laparoscopy / Disease-Free Survival / Diet / Propensity Score / Operative Time / Gastrectomy Clinical aspect: Diagnosis / Prognosis Language: English Journal: Journal of Gastric Cancer Year: 2019 Type: Article