Short term clinical outcome of totally laparoscopic middle segmental gastrectomy
EAES Academy. Eom S. 07/05/22; 363169; P214
Sang Soo Eom
Contributions
Contributions
Abstract
Objective:
Totally laparoscopic middle segmental gastrectomy (TLMSG) is developed as a function-preserving surgery for the proper indication we published recently. Purpose of this analysis is to show the short the term clinical outcome comparing with totally laparoscopic distal gastrectomy (TLDG).
Method:
For case control study, we retrospectively reviewed the clinicopathological data of 27 patients who underwent TLMSG and 148 patients who underwent TLDG with Billroth I anastomosis for early gastric cancer between 2018 and 2019 at National Cancer Center, Korea. Nutritional status including postoperative serum hemoglobin, total protein, albumin, body weight change), postoperative endoscopic findings, complications were compared between the two groups.
Results:
There was no difference in demographic features between the two groups. Decrease of serum hemoglobin level was significantly lower in the TLMSG group than in the TLDG group (P=0.031). Other nutritional status variables were not different. In the endoscopic findings, incidence of residual food was significantly higher in the TLMSG group than in the TLDG group (P=0.019). bile reflux and esophagitis findings in endoscopy were not significantly different. Postoperative complications were not significantly different. Operative time, estimated blood loss and hospital stay were not different. Significantly a greater number of lymph nodes was harvested for TLDG (35.6 ± 12.3 vs. 30.0 ± 10.2, p=0.013). Resection margins were significantly shorter for TLMSG (proximal: 91.6 ± 1.1 cm vs. 4.6 ± 2.7 cm, distal: 2.7 ± 2.4 cm vs. 6.4 ± 3.0 cm, p <0.001 respectively).
Conclusion:
TLMSG might be a good surgical option for the proper indication. Long term outcome and further prospective clinical study is needed to confirm its role.
Totally laparoscopic middle segmental gastrectomy (TLMSG) is developed as a function-preserving surgery for the proper indication we published recently. Purpose of this analysis is to show the short the term clinical outcome comparing with totally laparoscopic distal gastrectomy (TLDG).
Method:
For case control study, we retrospectively reviewed the clinicopathological data of 27 patients who underwent TLMSG and 148 patients who underwent TLDG with Billroth I anastomosis for early gastric cancer between 2018 and 2019 at National Cancer Center, Korea. Nutritional status including postoperative serum hemoglobin, total protein, albumin, body weight change), postoperative endoscopic findings, complications were compared between the two groups.
Results:
There was no difference in demographic features between the two groups. Decrease of serum hemoglobin level was significantly lower in the TLMSG group than in the TLDG group (P=0.031). Other nutritional status variables were not different. In the endoscopic findings, incidence of residual food was significantly higher in the TLMSG group than in the TLDG group (P=0.019). bile reflux and esophagitis findings in endoscopy were not significantly different. Postoperative complications were not significantly different. Operative time, estimated blood loss and hospital stay were not different. Significantly a greater number of lymph nodes was harvested for TLDG (35.6 ± 12.3 vs. 30.0 ± 10.2, p=0.013). Resection margins were significantly shorter for TLMSG (proximal: 91.6 ± 1.1 cm vs. 4.6 ± 2.7 cm, distal: 2.7 ± 2.4 cm vs. 6.4 ± 3.0 cm, p <0.001 respectively).
Conclusion:
TLMSG might be a good surgical option for the proper indication. Long term outcome and further prospective clinical study is needed to confirm its role.
Objective:
Totally laparoscopic middle segmental gastrectomy (TLMSG) is developed as a function-preserving surgery for the proper indication we published recently. Purpose of this analysis is to show the short the term clinical outcome comparing with totally laparoscopic distal gastrectomy (TLDG).
Method:
For case control study, we retrospectively reviewed the clinicopathological data of 27 patients who underwent TLMSG and 148 patients who underwent TLDG with Billroth I anastomosis for early gastric cancer between 2018 and 2019 at National Cancer Center, Korea. Nutritional status including postoperative serum hemoglobin, total protein, albumin, body weight change), postoperative endoscopic findings, complications were compared between the two groups.
Results:
There was no difference in demographic features between the two groups. Decrease of serum hemoglobin level was significantly lower in the TLMSG group than in the TLDG group (P=0.031). Other nutritional status variables were not different. In the endoscopic findings, incidence of residual food was significantly higher in the TLMSG group than in the TLDG group (P=0.019). bile reflux and esophagitis findings in endoscopy were not significantly different. Postoperative complications were not significantly different. Operative time, estimated blood loss and hospital stay were not different. Significantly a greater number of lymph nodes was harvested for TLDG (35.6 ± 12.3 vs. 30.0 ± 10.2, p=0.013). Resection margins were significantly shorter for TLMSG (proximal: 91.6 ± 1.1 cm vs. 4.6 ± 2.7 cm, distal: 2.7 ± 2.4 cm vs. 6.4 ± 3.0 cm, p <0.001 respectively).
Conclusion:
TLMSG might be a good surgical option for the proper indication. Long term outcome and further prospective clinical study is needed to confirm its role.
Totally laparoscopic middle segmental gastrectomy (TLMSG) is developed as a function-preserving surgery for the proper indication we published recently. Purpose of this analysis is to show the short the term clinical outcome comparing with totally laparoscopic distal gastrectomy (TLDG).
Method:
For case control study, we retrospectively reviewed the clinicopathological data of 27 patients who underwent TLMSG and 148 patients who underwent TLDG with Billroth I anastomosis for early gastric cancer between 2018 and 2019 at National Cancer Center, Korea. Nutritional status including postoperative serum hemoglobin, total protein, albumin, body weight change), postoperative endoscopic findings, complications were compared between the two groups.
Results:
There was no difference in demographic features between the two groups. Decrease of serum hemoglobin level was significantly lower in the TLMSG group than in the TLDG group (P=0.031). Other nutritional status variables were not different. In the endoscopic findings, incidence of residual food was significantly higher in the TLMSG group than in the TLDG group (P=0.019). bile reflux and esophagitis findings in endoscopy were not significantly different. Postoperative complications were not significantly different. Operative time, estimated blood loss and hospital stay were not different. Significantly a greater number of lymph nodes was harvested for TLDG (35.6 ± 12.3 vs. 30.0 ± 10.2, p=0.013). Resection margins were significantly shorter for TLMSG (proximal: 91.6 ± 1.1 cm vs. 4.6 ± 2.7 cm, distal: 2.7 ± 2.4 cm vs. 6.4 ± 3.0 cm, p <0.001 respectively).
Conclusion:
TLMSG might be a good surgical option for the proper indication. Long term outcome and further prospective clinical study is needed to confirm its role.
{{ help_message }}
{{filter}}