Long-Term Results and Current Problems in Laparoscopic Gastrectomy: Single-Center Experience

Abstract

Introduction: The study aims to evaluate the long-term results of patients who underwent laparoscopic gastrectomy for gastric cancer in Ankara University Medical Faculty, Surgical Oncology Clinic, within 5 years. Materials and Methods: We retrospectively reviewed the data of patients who underwent laparoscopic gastrectomy for gastric cancer at the Surgical Oncology Clinic of Ankara University Medical Faculty between January 2014 and September 2019. One hundred forty-six patients were included in the study. Results: Fifty-one (34.9%) of the patients were female; 95 (65.1%) were male. The meanstandard deviation and median (minimum-maximum) values of the patients were 60.92-14.13 and 64.00 (22.00-93.00), respectively (Table 1). Eighty-seven (59.6%) cases were located in the antrum, 29 (19.9%) were in the cardia region, and 30 (20.5%) were in the corpus region. Overall, 106 (72.6%) of 146 patients were alive, while 40 (27.4%) were ex. The mean survival was 21.8 months (0-69). Postoperative mortality was seen in 9 patients (6.2%) and our disease-free survival rate was 70.5%. Recurrence occurred in 14 (9.6%) of all patients. Conclusion: In conclusion, although laparoscopic gastrectomy is a reliable and feasible method for gastric cancer, the standardization of laparoscopic surgery is required in clinics.

New learning area in laparoscopic gastrectomy for gastric cancer

“…The curative approach in gastric cancer treatment is gastrectomy and lymphadenectomy. [ 14 ] In recent years, articles are showing the advantages of laparoscopic gastrectomy compared to open surgery. [ 15 ] After it was first described by Kitano in 1994, laparoscopic surgery has become increasingly standard in the treatment of gastric cancer in the past decade.…”

Laparoscopic Gastric Resection for Gastric Cancer: Is Intracorporeal Anastomosis Necessary?

“…In another series, the rate of anastomosis leakage was determined as 4.8%. 24 In a study comparing 124 cases selected from 1258 laparoscopic gastrectomy patients and 3268 open gastrectomy patients using all three of OrVil™, overlap and anvil techniques, anastomosis leakage rate was 2.4% and anastomosis stricture rate was 1.6%. 25 In our cases, we used the esophagojejunostomy technique performed side by side with linear stapler described by Inaba et al 26 Anastomotic leakage and stenosis caused by this technique was 2.7% in accordance with the literature.…”