Laparoscopic versus open gastrectomy for gastric cancer patients with COPD

Abstract

LG can be performed safely for patients with gastric cancer and COPD in stage I and II.

Quality of Care Indicators for the Surgical Treatment of Gastric Cancer: A Systematic Review

“…Likewise, in most nonrandomized, comparative series, laparoscopic gastric cancer surgery was comparable to open surgery with respect to both short-and long-term results. [45][46][47][48][49][50][51][52][53] In several nonrandomized studies, one should be aware of a significant difference in disease stage between the laparoscopic and open surgery group.…”

Risk Factors for Post-Operative Pulmonary Complications after Gastrectomy for Gastric Cancer

“…In colorectal surgery, laparoscopic colectomy is associated with a significantly lower risk of pneumonia than open colectomy [13]. Whether laparoscopic gastrectomy affects the incidence of PPCs remains a matter of debate, although it seems to be feasible even in patients with chronic obstructive pulmonary disease (COPD) [14,15]. We performed this retrospective cohort study to identify risk factors for PPCs after radical gastrectomy for gastric cancer, including both open and laparoscopic procedures.…”

Nonventilatory strategies to prevent postoperative pulmonary complications

“…Also, a meta-analysis showed that postoperative lung function was improved in patients undergoing laparoscopic compared to open colorectal surgery, but PPCs did not differ between groups [81]. Even in COPD patients, it could not be demonstrated that laparoscopic vs. open gastrectomy reduced PPCs [82]. Taken together, those studies seem to suggest that PPCs may be reduced in higher-risk populations when surgery is performed under laparoscopic compared to an open approach, but definitive evidence is missing.…”