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Gastrectomy and Esophagogastrectomy for Proximal and Distal Gastric Lesions: A Comparison of Open and Laparoscopic Procedures
Valerie Francescutti*,
Ian Choy,
Laurent Biertho,
Charles H. Goldsmith,
and
Mehran Anvari
* To whom correspondence should be addressed. E-mail: francev{at}mcmaster.ca.
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Abstract |
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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.
First published on May 25, 2009, doi:10.1177/1553350609336738
Surgical Innovation 2009;16:134.
A more recent version of this article appeared on June 1, 2009
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