Laparoscopy-assisted distal gastrectomy for gastric cancer patients with comorbid diseases: is it contraindicated for patients with systemic comorbidity?
Background: This study was carried out to evaluate the safety and feasibility of laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer patients with systemic comorbidity.Materials and Methods: Two hundred and seventy-six patients who had undergone LADG by a single surgeon were given a ph...
| Published in: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Vol. 21; no. 1; pp. 33 - 37 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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Lippincott Williams & Wilkins
2011 Feb
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104833835&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104833835 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15304515 N28 jtl: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques issn: 15304515 maglogo: N pubinfo: dt: 2011 Feb vid: 21 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 104833835 104833835 NLM21304386 2010965915 10.1097/SLE.0b013e3182050c47 NLM21304386 104833835 ppf: 33 ppct: 4 formats: tig: atl: Laparoscopy-assisted distal gastrectomy for gastric cancer patients with comorbid diseases: is it contraindicated for patients with systemic comorbidity? aug: au: Choi, Yoo Shin Park, Do Joong Lee, Hyuk-Joon Kim, Hyung-Ho Yang, Han-Kwang Lee, Kuhn Uk affil: *Department of Surgery, College of Medicine, Chung-Ang University tDepartment of Surgery, Seoul National University College of Medicine, Seoul tDepartment of Surgery, Seoul National University Bundang Hospital, Gyeonggi, Korea. sug: subj: Comorbidity Risk Assessment Stomach Neoplasms Surgery Surgery, Laparoscopic Methods Treatment Outcomes Adult Aged Chi Square Test Data Analysis Software Descriptive Statistics Female Human South Korea Male Middle Age Quality of Life Retrospective Design Survival T-Tests Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Background: This study was carried out to evaluate the safety and feasibility of laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer patients with systemic comorbidity.Materials and Methods: Two hundred and seventy-six patients who had undergone LADG by a single surgeon were given a physical status classification as defined by the American Society of Anesthesiologists (ASA class) and then divided into 2 criteria groups: criteria I group (ASA 1 vs ASA 2,3,4) and criteria II group (ASA 1,2 vs ASA 3,4). The clinicopathologic data of each patient were reviewed retrospectively and grouped by criteria.Results: The percentage of patients with a comorbid disease was 8.1% (11 cases) in ASA class 1, 71.7% (86 cases) in class 2, 95.0% (19 cases) in class 3, and 100% (1 case) in class 4. No statistical difference was found between criteria I and II in terms of operative and postoperative results, operative time, estimated blood loss, transfusion rate, tumor size, total and positive number of dissected lymph nodes, proximal resection margin from lesion, the rate of open conversion, the duration of hospital stay, the time required before resuming a liquid diet, and the rate of complications, except the distal resection margin in criteria II (all P >0.05). There were no cases of mortality in any criteria group.Conclusions: LADG would be a safe and feasible operation for patients with gastric cancer with systemic comorbidity, without reducing radicality, losing the advantages of minimally invasive surgery, or increasing operative risk. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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