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Major early complications following open, laparoscopic and robotic gastrectomy.

Authors
 K. M. Kim  ;  J. Y. An  ;  H. I. Kim  ;  J. H. Cheong  ;  W. J. Hyung  ;  S. H. Noh 
Citation
 BRITISH JOURNAL OF SURGERY, Vol.99(12) : 1681-1687, 2012 
Journal Title
 BRITISH JOURNAL OF SURGERY 
ISSN
 0007-1323 
Issue Date
2012
MeSH
Abdominal Abscess/etiology ; Adenocarcinoma/surgery* ; Analysis of Variance ; Anastomotic Leak/etiology ; Blood Loss, Surgical/statistics & numerical data ; Female ; Gastrectomy/adverse effects* ; Humans ; Ileus/etiology ; Laparoscopy/adverse effects* ; Length of Stay ; Male ; Middle Aged ; Postoperative Care ; Prospective Studies ; Reoperation ; Retrospective Studies ; Robotics* ; Stomach Neoplasms/surgery* ; Treatment Outcome
Keywords
Abdominal Abscess/etiology ; Adenocarcinoma/surgery* ; Analysis of Variance ; Anastomotic Leak/etiology ; Blood Loss, Surgical/statistics & numerical data ; Female ; Gastrectomy/adverse effects* ; Humans ; Ileus/etiology ; Laparoscopy/adverse effects* ; Length of Stay ; Male ; Middle Aged ; Postoperative Care ; Prospective Studies ; Reoperation ; Retrospective Studies ; Robotics* ; Stomach Neoplasms/surgery* ; Treatment Outcome
Abstract
BACKGROUND: Laparoscopic and robotic gastrectomy have been adopted rapidly despite lack of evidence concerning technical safety and controversy regarding additional benefits. This study aimed to compare clinically relevant complications after open, laparoscopic and robotic gastrectomy. METHODS: This was a retrospective analysis of prospectively collected data on surgical complications in patients undergoing gastrectomy with curative intent for histologically proven adenocarcinoma between 2005 and 2010 at the Department of Surgery, Yonsei University College of Medicine in Seoul, Korea. Complications were categorized into wound infection, bleeding, anastomotic leak, obstruction, fluid collection and other. RESULTS: In a total of 5839 patients (4542 open, 861 laparoscopic and 436 robotic gastrectomies), overall complication, reoperation and mortality rates were 10·5, 1·0 and 0·4 per cent respectively. There were no significant differences between the three groups. Ileus (P = 0·001) and intra-abdominal fluid collections (P = 0·013) were commoner after conventional open surgery. However, tumour stage was higher and more complex resections were performed in the open group. Anastomotic leak, the leading cause of death, occurred more often after a minimally invasive approach (P = 0·017). CONCLUSION: Laparoscopic and robotic gastrectomy had overall complication and mortality rates similar to those of open surgery, but anastomotic leaks were more common with the minimally invasive techniques.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/bjs.8924/abstract
DOI
23034831
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Cheong, Jae Ho(정재호) ORCID logo https://orcid.org/0000-0002-1703-1781
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89836
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