A Comparative Study of the Quality of Life Following Totally Laparoscopic Distal Gastrectomy with Open Distal Gastrectomy for Gastric Cancer

Yiping Mou, MD, FACS, Weiwei Jin, Xiaowu Xu, MD, Jiafei Yan, MD, Yucheng Zhou, MD, Ke Chen, MD

Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China

Introduction: To compare the quality of life (QoL) after totally laparoscopic distal gastrectomy (TLDG) with open distal gastrectomy (ODG).
Methods: From December 2009 to January 2011, clinical data of 19 patients undergoing TLDG and 22 undergoing ODG were reviewed. QoL at 1 month and 3 month after operation were evaluated retrospectively via the simplified Chinese versions of QLQ-C30 and STO-22 questionnaire.
Results: Comparable with ODG, TLDG was associated with shorter incision (4.0 ± 0.9 cm vs 22.8 ± 1.9 cm) (P<0.5) and less blood loss (126.8 ± 73.6 mL vs 279.6 ± 129.7 mL) (P<0.5). The postoperative morbidity was similar between the TLDG and ODG group (21.1% vs 22.7%). Global health was significantly better in TLDG group (62.50 ± 13.48 vs 50.79) (P<0.05) as well as physical function (72.59 ±10.94 vs 62.86 ± 14.07) (P<0.05) 1 month after operation. Global health and physical function were 72.81 ± 15.43 and 79.65 ± 14.82 in TLDG group 3 month later, respectively, which were obviously improved when compared with ODG group (62.70 ± 10.74, 70.79 ± 13.90) (P<0.05). There were no statistical differences in terms of STO-22 in TLDG and ODG group.
Conclusions: TLDG is associated with obviously better QoL compared to ODG and has similar safety and surgical outcomes.


Session: Poster Presentation

Program Number: P536

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