Comprehension of readmission after laparoscopy assisted distal gastrectomy: what are the causes?
OBJECTIVE
The aim of this study is to evaluate long-term outcomes regarding readmission for laparoscopy-assisted distal subtotal gastrectomy (LADG) compared to conventional open distal subtotal gastrectomy (CODG) for early gastric cancer (EGC).


METHODS
Between January 2003 and December 2006, 223 and 106 patients underwent LADG and CODG, respectively, for EGC by one surgeon. The clinicopathologic characteristics, postoperative outcomes, postoperative complications, overall 5-year survival, recurrence, and readmission were retrospectively compared between the two groups.


RESULTS
Multiple readmission rate in LADG was significantly less than that in CODG (0.4% vs. 3.8%, P = 0.039), although the readmission rate, reoperation rate after discharge, and mean readmission days were not significantly different between the two groups. Readmission rates of the LADG and CODG groups were 12.6% and 14.2%, respectively. First flatus time and postoperative hospital stay was significantly shorter in the LADG group. However, there was no significant difference in the complication rates between the two groups. Overall 5-year survival rates of the LADG and CODG group were 100% and 99.1% (P = 0.038), respectively.


CONCLUSIONS
Compared to the CODG group, the LADG group has several advantages in surgical short-term outcome and some benefit in terms of readmission in surgical long-term outcome for patients with EGC, even though the oncologic outcome of LADG is similar to that of CODG over 5 years.
Department of Surgery, Dong-A University College of Medicine, Busan, Korea.
Min-Chan
MC
Kim
Department of Surgery, Dong-A University College of Medicine, Busan, Korea.
Ki-Han
KH
Kim
Department of Surgery, Dong-A University College of Medicine, Busan, Korea.
Yoo-Min
YM
Kim
Department of Surgery, Dong-A University College of Medicine, Busan, Korea.
Ghap-Joong
GJ
Jung
Gastrectomy; Gastric neoplasms; Laparoscopy; Patient readmission; Prognosis