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In gastric cancer, laparoscopic gastrectomy is commonly performed in Asian countries. In other regions where tumor incidence is relatively low and patient characteristics are different, developments in this issue have been limited. In this study, the investigators aimed to compare the early results for patients who underwent open or laparoscopic gastrectomy for gastric cancer in a center in Turkey.
The patients who were operated in Kocaeli Derince Training and Research Hospital between January 2014 and January 2019 consecutively due to gastric cancer were analyzed. The diagnosis was made by upper gastrointestinal endoscopy and endoscopic biopsy. Clinical staging was done using contrast computed tomography (CT). Positron emission tomography (PET) was used in patients with suspected metastasis.The patients were divided into two groups according to the technique applied (open, laparotomy). The first group (Group 1; n: 30) consisted of patients who underwent open surgery, and the second group (Group 2, n: 30) laparoscopic surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| open gastrectomy | The first group (Group 1; n: 30) consisted of patients who underwent open surgery |
| |
| laparoscopic gastrectomy | The second group (group 2; n:30) consisted of patients who underwent laparoscopic gastrectomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gastrectomy | Procedure | gastric resection with lymph node dissection(D1+,D2) for stomach cancer. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Age | year | 2014-2019 |
| Body mass index | kg/m2 | 2014- 2019 |
| Previous abdominal surgery status | yes or no | 2014-2019 |
| Comorbidity status | present or absent | 2014 -2019 |
| Neoadjuvant therapy status | present or absent | 2014-2019 |
| American Society of Anesthesiologists (ASA) score | 1,2,3,4 | 2014-2019 |
| Gender | male or female | 2014-2019 |
| Surgical technique | open or laparoscopic | 2014-2019 |
| Tumor localization | proximal, middle, lower | 2014 - 2019 |
| Gastrectomy type |
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Inclusion Criteria:
Exclusion Criteria:
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The patients who were operated in Kocaeli Derince Training and Research Hospital between January 2014 and January 2019 consecutively due to gastric cancer.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kocaeli Derince Training and research Hospital | Kocasinan | Derince | 41900 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27401443 | Background | Okabe H, Tsunoda S, Obama K, Tanaka E, Hisamori S, Shinohara H, Sakai Y. Feasibility of Laparoscopic Radical Gastrectomy for Gastric Cancer of Clinical Stage II or Higher: Early Outcomes in a Phase II Study (KUGC04). Ann Surg Oncol. 2016 Aug;23(Suppl 4):516-523. doi: 10.1245/s10434-016-5383-0. Epub 2016 Jul 11. | |
| 28730391 | Background |
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D005743 | Gastrectomy |
| ID | Term |
|---|---|
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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total, subtotal
| 2014 - 2019 |
| Lymph node dissection type | D1+, D2 | 2014 - 2019 |
| Operation time | minute | 2014 - 2019 |
| Blood loss | ml | 2014 - 2019 |
| Complication (Clavien-Dindo Classification) | 1,2,3 A,3 B,4 A,4 B,5 (according to Clavien-Dindo Classification) | 2014 - 2019 |
| 30-day mortality | present or absent | 2014 - 2019 |
| Number of harvested lymph node | number | 2014 - 2019 |
| Resection margin status | positive or negative | 2014 - 2019 |
| Tumor stage (American Joint Committee on Cancer 8th Edition) | 0,1,2 A,2 B,3,4 A, 4 B (According to American Joint Committee on Cancer 8th Edition) | 2014 - 2019 |
| van der Wielen N, Straatman J, Cuesta MA, Daams F, van der Peet DL. Short-term outcomes in minimally invasive versus open gastrectomy: the differences between East and West. A systematic review of the literature. Gastric Cancer. 2018 Jan;21(1):19-30. doi: 10.1007/s10120-017-0747-0. Epub 2017 Jul 20. |
| 26603678 | Background | Haverkamp L, Ruurda JP, Offerhaus GJ, Weijs TJ, van der Sluis PC, van Hillegersberg R. Laparoscopic gastrectomy in Western European patients with advanced gastric cancer. Eur J Surg Oncol. 2016 Jan;42(1):110-5. doi: 10.1016/j.ejso.2015.09.018. Epub 2015 Oct 22. |
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |