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Gastrectomy and Esophagogastrectomy for Proximal and Distal Gastric Lesions: A Comparison of Open and Laparoscopic Procedures

Centre for Minimal Access Surgery, Department of Surgery, St Joseph's Healthcare Hamilton, francev{at}mcmaster.ca

Ian Choy, MD

Centre for Minimal Access Surgery, Department of Surgery, St Joseph's Healthcare Hamilton

Laurent Biertho, MD

Centre for Minimal Access Surgery, Department of Surgery, St Joseph's Healthcare Hamilton

Charles H. Goldsmith, PhD

Department of Clinical Epidemiology & Biostatistics, McMaster University Hamilton, Ontario, Canada

Mehran Anvari, MD

Centre for Minimal Access Surgery, Department of Surgery, St Joseph's Healthcare Hamilton

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.

Key Words: gastrectomy • laparoscopy • gastric cancer • survival

This version was published on June 1, 2009

Surgical Innovation, Vol. 16, No. 2, 134-139 (2009)
DOI: 10.1177/1553350609336738


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