DOI QR코드

DOI QR Code

Systemic Analysis on Laparoscope-Assisted Gastrectomy for Patients with Gastric Cancer

  • Hu, Jun-Hong (Department of General Surgery, Huaihe Hospital of Henan University) ;
  • Tang, Hong-Na (Department of General Surgery, Huaihe Hospital of Henan University) ;
  • Ma, Yong-Ping (Department of General Surgery, Huaihe Hospital of Henan University) ;
  • Wang, Chen-Yu (Department of General Surgery, Huaihe Hospital of Henan University) ;
  • Yao, Kun-Hou (Department of General Surgery, Huaihe Hospital of Henan University) ;
  • Zhang, Jun-Jie (Department of General Surgery, Huaihe Hospital of Henan University) ;
  • Ren, Xue-Qun (Department of General Surgery, Huaihe Hospital of Henan University)
  • 발행 : 2015.03.18

초록

Background: Laparoscope-assisted gastrectomy in treating patients with gastric cancers developed with a background of highly invasive traditional surgery and is being increasingly performed in the Asian Pacific area. This study systemically investigated the technique and clinical results for comparison with traditional radical subtotal gastrectomy for gastric cancers. Methods: Clinical studies evaluating the effectiveness and side effects of laparoscope-assisted gastrectomy in treating patients with gastric cancers were identified using a predefined search strategy. Summary rates of effectiveness and side effects of laparoscope-assisted gastrectomy were calculated. Results: Thirteen clinical studies which including 1,412 patients with gastric cancer treated by laparoscope-assisted gastrectomy were considered eligible for inclusion. Systemic analysis showed that, for all patients, the pooled resection rate was 100%. Major adverse effects were anastomotic stenosis, abdominal abscess, abdominal bleeding, postoperative ileus. Treatment related death occurred in 0. 71% (10/1412). Conclusion: This systemic analysis suggests that laparoscope-assisted gastrectomy in treating patients with gastric cancers is associated with good curative rate and acceptable complications.

키워드

참고문헌

  1. Ahn SH, Lee JH, Park DJ, et al (2012). Comparative study of clinical outcomes between laparoscopy-assisted proximal gastrectomy (LAPG) and laparoscopy-assisted total gastrectomy (LATG) for proximal gastric cancer. Gastric Cancer. 16, 282-9.
  2. Cho HJ, Kim W, Hur H, et al (2009). Laparoscopy-assisted completion total gastrectomy for gastric cancer in remnant stomach: report of 2 cases. Surg Laparosc Endosc Percutan Tech, 19, 57-60. https://doi.org/10.1097/SLE.0b013e318193c780
  3. Eom BW, Kim YW, Lee SE, et al (2012). Survival and surgical outcomes after laparoscopy-assisted total gastrectomy for gastric cancer: case-control study. Surg Endosc, 26, 3273-81. https://doi.org/10.1007/s00464-012-2338-9
  4. Ferlay J, Shin HR, Bray F, et al (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer, 127, 2893-917. https://doi.org/10.1002/ijc.25516
  5. Kawamura H, Yokota R, Homma S, et al (2009). Comparison of invasiveness between laparoscopy-assisted total gastrectomy and open total gastrectomy. World J Surg, 33, 2389-95. https://doi.org/10.1007/s00268-009-0208-y
  6. HuangYL, Lin HG , Yang JW , et al (2014). Laparoscopy-assisted versus open gastrectomy with D2 lymph node dissection for advanced gastric cancer: a meta-analysis. Int J Clin Exp Med, 7, 1490-9.
  7. Huang Z, Li G, Xu Y, et al (2014). Comparison of laparoscopeassisted D2 radical total gastrectomy and open gastrectomy for gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi, 25, 781-4.
  8. Kinoshita T, Shibasaki H, Oshiro T, et al (2011). Comparison of laparoscopy-assisted and total laparoscopic Billroth-I gastrectomy for gastric cancer: a report of short-term outcomes. Surg Endosc, 25, 1395-401. https://doi.org/10.1007/s00464-010-1402-6
  9. Lee JH, Han HS, Lee JH (2005). A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer: early results. Surg Endosc, 19, 168-73. https://doi.org/10.1007/s00464-004-8808-y
  10. Liu J, Huang XE, Tian GY, et al (2013). Phase II study on safety and efficacy of Yadanzi? (Javanica oil emulsion injection) combined with chemotherapy for patients with gastric cancer. Asian Pac J Cancer Prev, 14, 2009-12. https://doi.org/10.7314/APJCP.2013.14.3.2009
  11. Wei GL, Huang XE, Huo JG, et al (2013). Phase II study on pemetrexed-based chemotherapy in treating patients with metastatic gastric cancer not responding to prior palliative chemotherapy. Asian Pac J Cancer Prev, 14, 2703-6. https://doi.org/10.7314/APJCP.2013.14.5.2703
  12. Xu X, Wang L, Xu HQ, et al (2013). Clinical comparison between paclitaxel liposome (Lipusu?) and paclitaxel for treatment of patients with metastatic gastric cancer. Asian Pac J Cancer Prev, 14, 2591-4. https://doi.org/10.7314/APJCP.2013.14.4.2591
  13. Yang H, Xing J, Cui M, et al (2014). Efficacy evaluation of laparoscopy-assisted radical gastrectomy in obese patients with gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi, 17, 776-80.
  14. Yang L, Parkin DM, Ferlay J, et al (2005). Estimates of cancer incidence in China for 2000 and projections for 2005. Cancer Epidemiol Biomarkers Prev, 14, 243-50.
  15. Yang L (2006). Incidence and mortality of gastric cancer in China. World J Gastroenterol, 12, 17-20. https://doi.org/10.3748/wjg.v12.i1.17