title: Gastrectomy and esophagogastrectomy for proximal and distal gastric lesions: a comparison of open and laparoscopic procedures.
abstract: Laparoscopic gastrectomy is safe for benign lesions; however, such surgery for cancer remains controversial. The aim of this study is to compare outcomes in open versus laparoscopic gastrectomy. Data on patients undergoing open (n = 15) or laparoscopic (n = 52) gastrectomy revealed a mean age of 61.7 and 70.5 years, respectively (P = .06). Mean operative time was 32.3 minutes longer in the laparoscopic group (P = .24). The difference in median length of hospital stay was 3 days (open 12 days, laparoscopic 9 days). Postoperative morbidity (< 30 days) was not different; however, there were more early respiratory complications in the open group (P = .009). There were 4/6 (66.7%) open and 2/29 (6.9%) cancer recurrences. Laparoscopic approach for treatment of gastric lesions is safe and does not have a deleterious effect on cancer-related outcome.
authors.affiliation: Centre for Minimal Access Surgery, Department of Surgery, St Joseph's Healthcare Hamilton, Ontario, Canada. francev@mcmaster.ca
authors.forename: Valerie
authors.initials: V
authors.lastname: Francescutti
authors.forename: Ian
authors.initials: I
authors.lastname: Choy
authors.forename: Laurent
authors.initials: L
authors.lastname: Biertho
authors.forename: Charles H
authors.initials: CH
authors.lastname: Goldsmith
authors.forename: Mehran
authors.initials: M
authors.lastname: Anvari
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods*; D004943:Esophagogastric Junction / Q000473:pathology / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013272:Stomach Diseases / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome