Back to Search
Start Over
The Effect of Endoscopic Resection on Short-Term Surgical Outcomes in Patients with Additional Laparoscopic Gastrectomy after Non-Curative Resection for Gastric Cancer
- Source :
- Journal of Gastric Cancer
- Publication Year :
- 2017
- Publisher :
- The Korean Gastric Cancer Association, 2017.
-
Abstract
- Purpose Endoscopic submucosal dissection (ESD) in early gastric cancer causes an artificial gastric ulcer and local inflammation that has a negative intraprocedural impact on additional laparoscopic gastrectomy in patients with noncurative ESD. In this study, we analyzed the effect of ESD on short-term surgical outcomes and evaluated the risk factors. Materials and methods From January 2003 to January 2013, 1,704 patients of the National Cancer Center underwent laparoscopic gastrectomy with lymph node dissection because of preoperative stage Ia or Ib gastric cancer. They were divided into 2 groups: (1) with preoperative ESD or (2) without preoperative ESD. Clinicopathologic factors and short-term surgical outcomes were retrospectively evaluated along with risk factors such as preoperative ESD. Results Several characteristics differed between patients who underwent ESD-surgery (n=199) or surgery alone (n=1,505). The mean interval from the ESD procedure to the operation was 43.03 days. Estimated blood loss, open conversion rate, mean operation time, and length of hospital stay were not different between the 2 groups. Postoperative complications occurred in 23 patients (11.56%) in the ESD-surgery group and in 189 patients (12.56%) in the surgery-only group, and 3 deaths occurred among patients with complications (1 patient [ESD-surgery group] vs. 2 patients [surgery-only group]; P=0.688). A history of ESD was not significantly associated with postoperative complications (P=0.688). Multivariate analysis showed that male sex (P=0.008) and laparoscopic total or proximal gastrectomy (P=0.000) were independently associated with postoperative complications. Conclusions ESD did not affect short-term surgical outcomes during and after an additional laparoscopic gastrectomy.
- Subjects :
- Cancer Research
medicine.medical_specialty
Complications
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Gastrectomy
medicine
Stage (cooking)
Laparoscopy
Lymph node
medicine.diagnostic_test
business.industry
General surgery
Gastroenterology
Laparoscopic gastrectomy
Cancer
medicine.disease
Endoscopic submucosal dissection
Surgery
Early Gastric Cancer
Dissection
medicine.anatomical_structure
Oncology
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Original Article
business
Subjects
Details
- Language :
- English
- ISSN :
- 20935641 and 2093582X
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Gastric Cancer
- Accession number :
- edsair.doi.dedup.....a9d554c9e467e264f6c59cf8c9eae35d