Distal subtotal gastrectomy and gastreectomy in surgical treatment of patients with gastric cancer: a systematic review and meta-analysis

Panin, S I; Постолов, М П; Коваленко, Н. В.; Бебуришвили, А Г; Федоров, А В; Bykov, A. V.

doi:10.17116/hirurgia202011193

Cited by 12 publications

(8 citation statements)

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“…6,7,20 These results are further supported by recent metaanalysis data demonstrating a subtotal gastrectomy mortality of 2.6% and total gastrectomy mortality of 6.5% across 1463 procedures. 6 These outcome comparisons must be interpreted with consideration of patient selection. POMR calculations in this article include data for resections of both benign and malignant diseases.…”

Section: Discussionsupporting

confidence: 65%

“…19 The average national POMR for subtotal procedures (1.1%) compares favourably to other Western nations, with published figures ranging from 2.4% to 3.4%. 6,7,20 The average national POMR for total procedures (2.8%) compares favourably to the same nations (4.5-6.5%). 6,7,20 These results are further supported by recent metaanalysis data demonstrating a subtotal gastrectomy mortality of 2.6% and total gastrectomy mortality of 6.5% across 1463 procedures.…”

Section: Discussionmentioning

confidence: 91%

“…6,7,20 The average national POMR for total procedures (2.8%) compares favourably to the same nations (4.5-6.5%). 6,7,20 These results are further supported by recent metaanalysis data demonstrating a subtotal gastrectomy mortality of 2.6% and total gastrectomy mortality of 6.5% across 1463 procedures. 6 These outcome comparisons must be interpreted with consideration of patient selection.…”

Section: Discussionmentioning

confidence: 91%

“…[1][2][3] While surgical techniques have been refined over time, gastrectomy still carries a high risk of morbidity and mortality. 1,2,[4][5][6][7] The 30-day mortality following gastrectomy for gastric cancer in Western countries ranges from 3.5% to 6.9%. 2,[4][5][6][7] Australian state-based figures are comparable, 4.4-4.5% 8,9 (Table 1).…”

Section: Introductionmentioning

confidence: 99%

“…1,2,[4][5][6][7] The 30-day mortality following gastrectomy for gastric cancer in Western countries ranges from 3.5% to 6.9%. 2,[4][5][6][7] Australian state-based figures are comparable, 4.4-4.5% 8,9 (Table 1). Interestingly, gastrectomy for benign pathology has an increased risk of morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Gastrectomy mortality in Australia

Davis

Noll

Patel

et al. 2022

ANZ Journal of Surgery

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Background: Despite advances in medical management and endoscopic therapy, gastrectomy remains an important yet high-risk procedure for a range of benign and malignant upper gastrointestinal pathologies. No study has previously analysed Australian gastrectomy perioperative mortality rate (POMR). This retrospective, population-based cohort study was conducted to determine the Australian national gastrectomy POMR, allowing state-based and regional trends and outcomes to be assessed. Methods: Logistic regression models were compared using de-identified procedural data between 1 July 2005 and 30 June 2017 from the Australian Institute of Health and Welfare. Codes relating to total and subtotal gastrectomy contained in the Australian Classification of Health Interventions were used to extract patient data. Mortality rates were risk adjusted for age and gender. Temporal trends and differences between states/territories and regions were investigated. Results: The national average POMR throughout the study period was 2.1%. For subtotal gastrectomy, the national mean POMR was 1.1%, decreasing from 2.7% (2005) to 1.3% (2017). For total gastrectomy, the national mean POMR was 2.8%, decreasing from 3.3% (2005) to 1.7% (2017). POMR significantly reduced over time without variation between states or regions. Procedure volume steadily reduced in rural centres with a concomitant increase in metropolitan centres over time. Conclusion: Pleasingly, the Australian gastrectomy POMR is favourable when compared to international cohorts. Improved outcomes were consistent between states and territories, and metropolitan and regional centres. Progressive metropolitan centralization of gastrectomy was demonstrated without evidence of improved outcomes.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gastrectomy mortality in Australia

Davis

Noll

Patel

et al. 2022

ANZ Journal of Surgery

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Spleen-preserving D2 subtotal distal resection of the stomach and corpocaudal resection of the pancreas after neoadjuvant induction chemotherapy and chemoradiotherapy: case report and literature review

et al. 2022

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Background. Stomach cancer is one of the most common cancers worldwide. Long-term treatment outcomes in patients with locally advanced gastric cancer with invasion to adjacent structures are poor. In clinical recommendations of the Ministry of Health of the Russian Federation, it is recommended to treat these patients with perioperative chemotherapy according to the FLOT scheme. The effectiveness of neoadjuvant chemoradiotherapy is studied in many multicenter studies involving randomized clinical trials. Case description. We present a case of a successful treatment of a patient with locally advanced gastric cancer (сT4bN2M0 – IVA stage). The patient received neoadjuvant therapy (2 cycles according to the FLOT scheme) followed by chemoradiotherapy (total dose of 46 Gy with the concurrent chemotherapy with capecitabine and oxaliplatin). Neoadjuvant therapy was well tolerated (grade 1 gastrointestinal and hematological toxicity). The patient underwent distal subtotal resection of the stomach with D2 lymph node dissection and distal subtotal resection of the pancreas with preservation of the spleen. No postoperative complications were observed. Histological examination revealed complete pathological response of the primary tumor, including the area of earlier invasion into the pancreas; metastasis in one lymph node of the small omentum. The patient is alive with no evidence of disease 20 months after surgery. Conclusion. The feasibility of conducting safe multimodal neoadjuvant therapy followed by organ-preserving surgery in a patient with locally advanced gastric cancer (сT4bN2M0) was shown. The effective neoadjuvant therapy resulted in the achievement of complete pathologic response, which is a favorable prognostic factor.

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Estratégias De Acolhimento E Condicionamento Do Paciente Autista No Atendimento Odontológico: Uma Revisão Integrativa

Carvalho¹,

Lima²,

Corrêa³

et al. 2023

I Congresso Nacional Multiprofissional Em Saúde Pública (Iconmuspu): Capítulos De E-Book

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LICENÇA CREATIVE COMMONSTodo o conteúdo das produções publicadas pela Literacia Científica Editora & Cursos está licenciado com uma Licença de Atribuição Creative Commons. Atribuição-NãoComercialNãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).Todo o conteúdo apresentado nesta obra é de inteira responsabilidade dos autores. DECLARAÇÃO DA EDITORAA equipe que compõe a Literacia Científica Editora & Cursos declara que não participou de qualquer etapa do processo de organização e planejamento I CONGRESSO NACIONAL MULTIPROFISSIONAL EM SAÚDE PÚBLICA (ICONMUSPU), envolvendo-se somente na etapa de publicação das obras do referido evento, com inserção de suas credenciais (ISBN, DOI geral da obra e ficha catalográfica). Outrossim, a Literacia Científica Editora & Cursos não se responsabiliza e nem assume qualquer responsabilidade pelo teor ou possíveis erros de linguagem dos trabalhos divulgados na presente obra, a qual recai, com exclusividade, sobre seus organizadores e respectivos autores.

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Distal subtotal gastrectomy and gastreectomy in surgical treatment of patients with gastric cancer: a systematic review and meta-analysis

Cited by 12 publications

References 36 publications

Gastrectomy mortality in Australia

Gastrectomy mortality in Australia

Spleen-preserving D2 subtotal distal resection of the stomach and corpocaudal resection of the pancreas after neoadjuvant induction chemotherapy and chemoradiotherapy: case report and literature review

Estratégias De Acolhimento E Condicionamento Do Paciente Autista No Atendimento Odontológico: Uma Revisão Integrativa

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