Laparoscopic total gastrectomy versus open total gastrectomy for cancer: a systematic review and meta-analysis

Abstract

LTG shows better short term outcomes compared with OTG in eligible patients with gastric cancer. Future studies should evaluate 30- and 60-day mortality, radicality of resection, and long-term follow-up in LTG versus OTG, preferably in randomized trials.

Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público

“…En trabajos aleatorizados y controlados, existe evidencia de una significativa menor morbilidad global y respiratoria con cirugía laparoscópica 2,20 ; nuestra serie lo apoya porque ningún paciente presentó complicaciones respiratorias, probablemente debido a menor dolor y una mejor recuperación respiratoria 1 . Los meta análisis realizados también apoyan una significativa menor tasa de complicaciones con este abordaje mínimamente invasivo 6,21,22 . Entre los otros beneficios de la laparoscopia están un menor sangrado intraoperatorio, menor respuesta inflamatoria sistémica 1 , mejor calidad de vida a corto plazo 23 y menor estadía hospitalaria [1][2][3][4][5][6]20,24 .…”

“…En gastrectomía total la situación es distinta ya que se debe realizar una anastomosis con el esófago, trabajando en la parte alta del abdomen. Para esta última anastomosis se han descrito múl-tiples técnicas, sin que exista un consenso sobre la mejor alternativa 13,21,[26][27][28][29] . En esta serie tuvimos 2 fistulas de la AEY.…”

Laparoscopic Subtotal/Total Gastrectomy (LS/TG) Versus Open Subtotal/Total Gastrectomy (OS/TG) For Gastric Cancer: Literature Review to Activate the Laparoscopic Procedure Gastric Cancer Resection in Secondary Care Hospital

“…C.Huscher et al [11] performed a five-year randomized prospective trial between 1992 and 1996 on 70 patients with LSG vs OG. Their comparative results showed that there were no statistical differences between the two groups in terms of pTMN stage, duration of surgery, type of gastrointestinal reconstruction, number of lymph nodes retrieved and intraoperative blood loss.…”

“…As far as port site some Author has reported negative results [10][11][12][13][14] while other authors have noticed that the time is shorter and closer to open technique when a dedicated laparoscopic team perform at least 50 LG [4,5]. Recently, Haverkamp et al meta-analysis have showed the superiority of LG vs OG but oncological outcomes are still being debated [2,11]. According to Japanese Guidelines, distal or total gastrectomy with D2 dissection improve survival.…”

Analysis of Laparoscopy-assisted Gastric Cancer Operations Performed by Inexperienced Junior Surgeons

“…Technique of laparoscopy-assisted gastric cancer resection was reported by Kitano et al in 1994 firstly (Kitano et al, 1994). From then on, this technique has been accepted by surgeons and patients gradually and the advantages of this approach have been confirmed by several centers (Kim et al, 2012;Shinohara et al, 2013;Sakuramoto et al, 2013;Haverkamp et al, 2013;Liao et al, 2013). While emphasis too much on the advantages of laparoscopic resection, learning itself usually be ignored.…”