A comparison between two methods for tumor localization during totally laparoscopic distal gastrectomy in patients with gastric cancer.
10.4174/astr.2016.91.3.112
- Author:
Chang Min LEE
1
;
Sungsoo PARK
;
Seong Heum PARK
;
You Jin JANG
;
Seung Joo KIM
;
Young Jae MOK
;
Chong Suk KIM
;
Jong Han KIM
Author Information
1. Department of Surgery, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea. ppongttai@gmail.com
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Gastrectomy;
Endoscopy;
Stomach neoplasms
- MeSH:
Endoscopy;
Gastrectomy*;
Humans;
Incidence;
Laparoscopy;
Methods*;
Radiography;
Stomach Neoplasms*
- From:Annals of Surgical Treatment and Research
2016;91(3):112-117
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to compare two methods of tumor localization during totally laparoscopic distal gastrectomy (TLDG) in patients with gastric cancer. METHODS: From March 2014 to November 2014, patients in whom TLDG had been engaged for middle third gastric cancer enrolled in this study. The patients were allocated to either the radiography or endoscopy group based on the type of tumor localization technique. Clinicopathologic outcomes were compared between the 2 groups. RESULTS: The accrual was suspended in November 2014 when 39 patients had been enrolled because a failed localization happened in the radiography group. The radiography and endoscopy groups included 17 (43.6 %) and 22 patients (56.4 %), respectively. Mean length of the proximal resection margin did not differ between the radiography and endoscopy groups (4.0 ± 2.6 and 2.8 ± 1.2 cm, respectively; P = 0.077). Mean localization time was longer in the radiography group than in the endoscopy group (22.7 ± 11.4 and 6.9 ± 1.8 minutes, respectively, P < 0.001). There were no statistically significant differences in the incidence of severe complications between the 2 groups (5.9% and 4.5%, respectively, P = 0.851). CONCLUSION: As an intraoperative tumor localization for TLDG, radiologic method was unsafe even though other comparable parameters were not different from that of endoscopy group. Moreover, intraoperative endoscopic localization may be advantageous because it is highly accurate and contributes to reducing operation time.
