2019
DOI: 10.1590/0102-672020180001e1413 View full text |Buy / Rent full text
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Enrique NORERO,
Catalina VARGAS,
Pablo ACHURRA
et al.

Abstract: Background:Laparoscopic gastrectomy has numerous perioperative advantages, but the long-term survival of patients after this procedure has been less studied. Aim:To compare survival, oncologic and perioperative outcomes between completely laparoscopic vs. open gastrectomy for early gastric cancer. Methods:This study was retrospective, and our main outcomes were the overall and disease-specific 5-year survival, lymph node count and R0 resection rate. Our secondary outcome was postoperative morbidity. Results:We… Show more

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“…So the advantages of the laparoscopic approach could be applied to gastric cancer patients. Our results are similar to many previous recent studies [4,[10][11][12][13][14]. We showed a lower incidence of abdominal wound infection and local complication, additionally we showed a lower incidence of respiratory complications in LG than in open gastrectomy due to early movement and shorter time of hospital stay.…”
Section: Discussionsupporting
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“…So the advantages of the laparoscopic approach could be applied to gastric cancer patients. Our results are similar to many previous recent studies [4,[10][11][12][13][14]. We showed a lower incidence of abdominal wound infection and local complication, additionally we showed a lower incidence of respiratory complications in LG than in open gastrectomy due to early movement and shorter time of hospital stay.…”
Section: Discussionsupporting
“…We showed a lower incidence of abdominal wound infection and local complication, additionally we showed a lower incidence of respiratory complications in LG than in open gastrectomy due to early movement and shorter time of hospital stay. NORERO et al, [10] Kim et al, [15] and Marrelli et al [16], showed similar results. Many studies have showed the rate of postoperative complication in patients that underwent LG was less than those of patients that underwent open gastrectomy, that was near to our results [4,5,17].…”
Section: Discussionmentioning
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“…Se estima una invasión linfática tumoral en aproximadamente 3% de los tumores mucosos y hasta 23% de los tumores submucosos 23 . En nuestra experiencia en gastrectomías con disección ganglionar sólo un 6% de los tumores T1a o T1b tenían compromiso linfático 24 con lo cual en el 94% de estos pacientes podría haberse evitado dicha intervención.…”
Section: Discussionunclassified
“…De los aspectos más relevantes a considerar son la menor morbilidad y prácticamente nula mortalidad asociada a la técnica lo que plantea claros beneficios respecto a la cirugía resectiva tradicional. En nuestro hospital, un centro de alto volumen en que se operan aproximadamente 70 gastrectomías al año, hemos reportado una mortalidad en gastrectomías por cáncer gástrico incipiente de 2,6% 24 . Lo anterior permite estimar que 1 a 2 pacientes de nuestra serie hubieran fallecido en el período postoperatorio sólo por el hecho de haber sido sometidos a una gastrectomía, cuando esta podría haberse evitado.…”
Section: Discussionunclassified