Survival and Surgical Outcomes After Laparoscopy-Assisted Total Gastrectomy for Gastric Cancer: Case Control Study

Young-woo Kim, Bang Wool Eom, Sang Eok Lee, Keun Won Ryu, Jun Ho Lee, Hong Man Yoon, Soo-jeong Cho, Myeong-cherl Kook, Soo Jin Kim. Gastric Cancer Branch, Research Institute & Hospital, National Cancer Center

 

Background: Few Long-term survival data of laparoscopy assisted total gastrectomy (LATG) was reported. Purpose of this study was to investigate the feasibility of laparoscopy-assisted total gastrectomy (LATG) in terms of long term survival and morbidities
Methods: Case – control study was done for 100 cases of LATG and 348 cases of open total gastrectomy (OTG) for clinical T1N0, T1N1, and T2N0 gastric cancer from August 2003 to December 2008, at the National Cancer Center, Korea. Clinicopathological characteristics, surgical outcomes, complications were compared between LATG and OTG groups. Overall survival and disease-free survival were analyzed using Cox proportional hazard model for multivariate analysis.
Results: The rate of postoperative complication was 27%, and the most common complication was anastomotic stenosis in LATG (9%). There was no significant difference of surgical outcomes and complications between LATG and OTG groups except longer operating time in LATG. Survivals were also similar between groups; the hazard ratio of LATG vs OTG was 0.51 (95 % confidence intervals, 0.18-1.46; p = 0.212) for overall survival, and 0.19 (95 % confidence intervals, 0.03-1.40; p = 0.102) for disease-free survival.
Conclusion: LATG for gastric cancer might be a feasible procedure with acceptable complications and long term survival.
 


Session Number: Poster – Poster Presentations
Program Number: P257
View Poster

« Return to SAGES 2012 abstract archive