• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Role of Laparoscopic Surgery in Palliative Gastric Cancer Management.

Cedric Adelsdorfer, MD, Waldemar Adelsdorfer, MD, Elizabeth Pando, MD, Dulce Momblán, MD, Antonio M Lacy, MD PhD. Department of Gastrointestinal Surgery, Institute of Digestive and Metabolic Diseases (ICMDM), Hospital Clínic of Barcelona

 

 Introduction
There are few reports about the value of surgery in palliative gastric cancer, even less with the laparoscopic approach, which is proving to be superimposable results to open surgery in early cancer.
Objective
Assess the immediate and medium term in the series of patients undergoing laparoscopic surgery with palliative gastric adenocarcinoma in our institution.
Material and methods.
Prospective study of consecutive patients undergoing laparoscopic surgery for palliative adenocarcinoma between January 2005 and October 2010. Demographic variables are analyzed, short-term results and survival.
Results
48 patients were operated. Exploratory laparoscopy was performed only in 25% (12/48), or gastro jejunostomy in 10.4% (5/48), gastro-jejunal anastomosis in 29.2% (14/48) and resective surgery in 35.4% (17/48). The average age was 71 ± 9 (50-88), 34 male predominance (70.8%). TNM stages are: 4.2% (2 / 48) IIB, 10.4% (5 / 48) IIIA, 12.5% (6/48) IIIB, 12.5% (6/48) IIIC and 60.4% (29/48) stage IV. The operating time of the resected patients was 230 ± 67 minutes, significantly higher than in the other interventions (p<0.001). The conversion rate in the resected was 17.6% (3/17), all due to technical difficulties in mobilizing the tumor. The overall postoperative morbidity was 25% (12/48), being higher in the resected group with 40% (p=0.283). 1 patient in the resected group showed no mortality suture failure, requiring reoperation. Postoperative mortality was 6.3% (3/48), 1 in resected group with intra-abdominal complication without proof of leakage, the other two with a medical cause. The average follow-up 11 ± 8 months (1-33). Overall survival at 24 months was 24.3%. The Kaplan-Meier analysis showed a significantly better survival in cases resected and adjuvant therapy (log-rank test, p=0.034), with a median survival of 25 months (95% CI 14-36.8).
Conclusions
Laparoscopic approach for palliative gastric cancer is a feasible, the rate of morbidity and mortality in resected patients was similar to healing. Palliative resection may increase survival in selected patients.


Session Number: Poster – Poster Presentations
Program Number: P254
View Poster

66

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons