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Journals / İstanbul Kanuni Sultan Süleyman Tıp Dergisi / 2021 / Cilt: 13 - Sayı: 2

Our Short- and Long-Term Results of Laparoscopic Gastrectomy in Locally Advanced Gastric Cancer

Lokal İleri Mide kanserinde Laparoskopik Gastrektomi Kısa ve Uzun Dönem Sonuçlarımız

Afig GOJAYEV
Ali Ekrem ÜNAL
Cemil YÜKSEL
Serdar ÇULCU
Salim DEMİRCİ
Sancar BAYAR
Pages
116–122
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Although the learning curve is long and requires experience, we think that laparoscopic surgery is feasible in LAGC, as in early-stage gastric cancer.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Gastric cancer is the fourth most common cause of death worldwide and the second most common cause of cancer-related deaths.
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Key Findings & Data:Method: Data of patients who underwent gastrectomy for LAGC in our clinic between January 2010 and January 2020 were retrospectively analyzed.
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Conclusion & Impact:Conclusion: Although the learning curve is long and requires experience, we think that laparoscopic surgery is feasible in LAGC, as in early-stage gastric cancer.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Gastric cancer is the fourth most common cause of death worldwide and the second most common cause of cancer-related deaths. Minimally invasive surgery now offers many advantages to both patients and surgeons all over the world. In our study, we presented our laparoscopic experiences in locally advanced gastric cancer (LAGC) surgery. Method: Data of patients who underwent gastrectomy for LAGC in our clinic between January 2010 and January 2020 were retrospectively analyzed. Results: Gastrectomy was performed on 288 patients with LAGC. Although laparoscopic surgery was conducted on 96 patients (33.3%), open surgery was performed on 192 (66.7%) patients. The mean operation time was 122.96 ± 44.06 (60-300) min. There was no statistically significant difference between the two groups in terms of anastomotic leakage (p = 0.724). The mean length of stay was 12.54 days in patients undergoing open surgery and 9.36 days in those undergoing laparoscopic surgery, with a statistically significant difference between the two groups (p < 0.001). Conclusion: Although the learning curve is long and requires experience, we think that laparoscopic surgery is feasible in LAGC, as in early-stage gastric cancer.

Özet

Amaç: Mide kanseri tüm dünyada en sık görülen dördüncü, kansere bağlı ölümlerin en sık ikinci nedenidir. Tüm dünyada artık minimal invaziv cerrahi hem hastalara hem de cerrahlara birçok avantaj sunmaktadır. Çalışmamızda lokal ileri mide kanseri (LİMK) cerrahisinde laparoskopik deneyimlerimizi sunduk. Yöntem: Ocak 2010 - Ocak 2020 tarihleri arasında kliniğimizde LİMK nedeniyle gastrektomi yapılan hastaların verileri retrospektif olarak incelendi. Bulgular: LİMK nedeniyle 288 hastaya gastrektomi yapıldı. Hastaların 92’si (%31,9) kadın 196’sı (%68,1) erkekti. Hastaların 96’sına (%33,3) laparoskopik cerrahi yapılırken 192’sine (%66,7) ise açık cerrahi uygulanmıştır. Operasyon süresi ortalama 122,96 ± 44,06 (60-300) dakikaydı. Anastomoz kaçağı açısından iki grup arasında istatistiksel anlamlı fark bulunmamıştır (p=0,724). Yatış süresi bakımından açık cerrahide ortalama 12,54 gün iken laparoskopik cerrahide 9,36 gün olup iki grup arasında istatistiksel anlamlı fark gösterilmiştir (p

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Cite This Article

GOJAYEV, A., ÜNAL, A. E., YÜKSEL, C., ÇULCU, S., DEMİRCİ, S., BAYAR, S. (2022). Our Short- and Long-Term Results of Laparoscopic Gastrectomy in Locally Advanced Gastric Cancer. İstanbul Kanuni Sultan Süleyman Tıp Dergisi, Cilt: 13 - Sayı: 2, 116–122. https://ajindex.com/articles/550940

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