title: Short-term outcomes of laparoscopic versus open total gastrectomy: a matched-cohort study.
abstract: BACKGROUND
  This study was designed to compare short-term laparoscopic total gastrectomy (LTG) with open total gastrectomy (OTG) outcomes in gastric cancer.
  
  
  METHODS
  Seventy patients who underwent total gastrectomy via LTG or OTG were included. All cases were matched for stage, age, and sex by means of statistically generated selection of all gastrectomies performed during the same period.
  
  
  RESULTS
  Although the operation time was not longer for LTG, the time required for esophagojejunostomy was significantly longer in LTG than in OTG (43 vs 14 min, P < .05). The incidence of anastomotic complications was higher in the LTG group as well.
  
  
  CONCLUSIONS
  Postoperative complications such as anastomotic leakage and stenosis were observed more frequently in LTG. To improve the safety of esophagojejunostomy in LTG, technical innovations should be pursued.
authors: Division of Gastrointestinal Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seocho-gu, Seoul, Korea.
authors: Jung Ho
authors: JH
authors: Shim
authors: Seong Il
authors: SI
authors: Oh
authors: Han Mo
authors: HM
authors: Yoo
authors: Hae Myung
authors: HM
authors: Jeon
authors: Cho Hyun
authors: CH
authors: Park
authors: Kyo Young
authors: KY
authors: Song
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D016022:Case-Control Studies; D015331:Cohort Studies; D004945:Esophagoscopy / Q000379:methods; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008197:Lymph Node Excision; D008297:Male; D061646:Operative Time; D011183:Postoperative Complications; D018709:Statistics, Nonparametric; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome
keywords: Gastric cancer; Laparoscopic; Open; Outcomes; Total gastrectomy