Masahiro Watanabe, Masanori Tokunaga, Akio Kaito, Shizuki Sugita, Takahiro Kinoshita. National Cancer Center Hospital East, Gastric Surgery Division
Background: Although the current standard treatment for advanced gastric cancer (AGC) is open gastrectomy, laparoscopic gastrectomy (LG) is increasingly performed, especially in the East. However, it is a technically demanding procedure, and the feasibility remains unclear. The aim of the present study was to clarify the feasibility of LG for AGC.
Patients and Methods: The present study included 266 patients who underwent LG for AGC between 2010 and 2017. The indication of LG has gradually expanded in our institute, and is currently any stage gastric cancer except for gastric cancer obviously invading adjacent organs or gastric stump carcinoma. We retrospectively reviewed short- and long-term surgical outcomes of the patients.
Results: Male/female ratio was 2:1, and median age (range) was 68 (23-90) years. Distal gastrectomy was most frequently performed (62 %), followed by total gastrectomy (33%). Median operation time and intraoperative blood loss was 251 (156-529) minutes and 15 (0-505) g, respectively. Clavien-Dindo grade III or more complication rate was 8.6%. With a median follow-up period of 18 months, the 3-year recurrence free survival rates of pStage II and III patients were 98% and 91%, respectively.
Conclusion: The outcomes of LG for AGC are satisfactory, provided that an experienced team performs the surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86570
Program Number: P415
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster