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Long-term oncologic outcomes of 714 consecutive laparoscopic gastrectomies for gastric cancer: results from the 7-year experience of a single institute

Authors
 Kyung Ho Pak  ;  Woo Jin Hyung  ;  Sung Hoon Noh  ;  Seung Ho Choi  ;  Jae-Ho Cheong  ;  Jong Won Kim  ;  Ji Yeong An  ;  Hyoung-Il Kim  ;  Yanghee Woo  ;  Kazutaka Obama  ;  Taeil Son 
Citation
 Surgical Endoscopy , Vol.26(1) : 130-136, 2012 
Journal Title
 Surgical Endoscopy  
ISSN
 0930-2794 
Issue Date
2012
Abstract
BACKGROUND: Although many reports have indicated the feasibility of laparoscopic gastrectomy (LG) regarding short-term surgical outcomes, the role of LG remains controversial because studies of long-term outcomes of LG are insufficient. The purpose of this study was to evaluate the long-term oncologic outcomes of patients who have undergone LG. METHODS: Between May 2003 and December 2009, 714 consecutive patients underwent LG for gastric cancer. After excluding operative mortality (n = 4) and a case of Krukenberg tumor that was not identified at the time of surgery (n = 1), a total of 709 patients were analyzed for long-term oncologic outcomes. Gastric cancer cases were analyzed according to the American Joint Committee on Cancer classification (seventh edition). Overall survival and relapse-free survival were estimated by using the Kaplan-Meier method. RESULTS: Median follow-up was 46.2 months. Postoperative recurrence was observed in 26 patients (3.7%). The instances of recurrence were as follows: seven peritoneal, six locoregional, five hematogenous, four distant lymph nodes, and four mixed recurrence. There were neither port-site nor wound site metastases. The 5-year relapse-free survival rates were: 95.8% in stage I, 83.4% in stage II, and 46.4% in stage III. Five-year overall survival rates were: 96.4% in stage I, 83.1% in stage II, and 50.2% in stage III. The independent risk factors for recurrence were T stage and N stage. For survival, age, T stage, and N stage were statistically independent prognostic factors CONCLUSIONS: Our single-center study of a large patient series revealed that LG for gastric cancer had acceptable long-term oncologic outcomes comparable to those of conventional open surgery.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91894
DOI
10.1007/s00464-011-1838-3
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김종원(Kim, Jong Won) ; 김형일(Kim, Hyoung Il) ; 노성훈(Noh, Sung Hoon) ; 박경호(Pak, Kyung Ho) ; 손태일(Son, Tae Il) ; 정재호(Cheong, Jae Ho) ; 최승호(Choi, Seung Ho) ; 형우진(Hyung, Woo Jin)
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Full Text
http://link.springer.com/article/10.1007%2Fs00464-011-1838-3
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