Morbidity of Laparoscopic Assisted Gastrectomy for Early Gastric Cancer.
10.5230/jkgca.2007.7.3.152
- Author:
Ji Eun CHOI
1
;
Oh JEONG
;
Jeong Hwan YOOK
;
Kab Jung KIM
;
Jung Tack LIM
;
Sung Tae OH
;
Gun Choon PARK
;
Byung Sik KIM
Author Information
1. Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. bskim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic assisted gastrectomy;
Complication;
Early gastric cancer
- MeSH:
Gastrectomy*;
Humans;
Intestinal Obstruction;
Laparoscopy;
Mortality;
Multivariate Analysis;
Retrospective Studies;
Risk Factors;
Stomach Neoplasms*
- From:Journal of the Korean Gastric Cancer Association
2007;7(3):152-159
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Recently, the use of laparoscopic assisted gastrectomy for early gastric cancer has been on the increase and the procedure has been quickly adopted by clincians. However, there are few reports regarding the safety and risk of this type of surgery. The aim of this study is to evaluate the morbidity and to verify the safety of laparoscopic assisted gastrectomy for early gastric cancer. MATERIALS AND METHODS: A total of 376 patients that had undergone laparoscopic assisted gastrectomy for early gastric cancer between April 2004 and December 2006 were reviewed retrospectively. The clinicopathological characteristics, operative complications, and factors related to complications were evaluated. RESULTS: The overall operative morbidity and mortality rates were 10.6% and 0%, intraoperative morbidity was 1.1% (4 of 376 patients) and post operative morbidity was 9.6% (36 of 376 patients). Most complications required no surgery except for an intestinal obstruction in two cases. Multivariate analysis of risk factors related to operative morbidity determined that age was an independent factor associated with morbidity (P=0.021). CONCLUSION: The complication rate of laparoscopic assisted gastrectomy is low and most complications can be managed by conservative methods rather than with surgery. There were no specific predicting factors for complications except old age. Laparoscopy is a technically feasible and acceptable surgical modality for early gastric cancer.
