ID 111156
Author
Okitsu, Hiroshi Tokushima Red Cross Hospital
Yuasa, Yasuhiro Tokushima Red Cross Hospital
Kuramoto, Shunsuke Tokushima Red Cross Hospital
Tomibayashi, Atsushi Tokushima Red Cross Hospital
Matsumoto, Daisuke Tokushima Red Cross Hospital
Masuda, Yuri Tokushima Red Cross Hospital
Edagawa, Hiroshi Tokushima Red Cross Hospital
Tani, Ryotaro Tokushima Red Cross Hospital
Mori, Osamu Tokushima Red Cross Hospital
Matsuo, Yuta Tokushima Red Cross Hospital
Keywords
Advanced gastric cancer
Gastrectomy
Laparoscopic surgery
Content Type
Journal Article
Description
The purpose of this study was to investigate the oncologic outcomes of laparoscopic distal gastrectomy (LDG) for advanced gastric cancer (AGC). Between April 2003 and March 2014, LDG was performed for 392 patients, 91 patients (23.2%) had histopathologically diagnosed AGC beyond T2 depth. The clinicopathological features, postoperative outcomes, mortality, morbidity, recurrence rate, and survivals of those patients were reviewed. The TNM stages of the tumor were IB in 26 patients (28.5%), IIA in 20 (21.9%), IIB in 18 (19.7%), IIIA in 13 (14.2%), IIIB in 6 (6.5%), IIIC in 6 (6.5%), and IV in 2 (2.1%). Major morbidity occurred in 14 patients (15.3%), with no postoperative mortality. Median follow-up was 24.5 months ; 10 patients developed recurrence during the follow-up period, and 10 patients died, including 6 cancer deaths. The 5-year overall and disease-free survival rates were 76.8% and 72.6%, respectively. By stage, OS/DFS was 92.3%/91.8% in stage IB, 85.4%/85.4% in stage II, and 49.3%/26.9% in stage III. Oncologic outcomes were good in patients with AGC, especially with stage IB-IIB, who underwent LDG. LDG appears to be an effective approach for treating stage IB and II gastric cancer.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
AA12022913
Publisher
Faculty of Medicine Tokushima University
Volume
63
Issue
1-2
Start Page
68
End Page
73
Sort Key
68
Published Date
2016-02
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences