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Norero E, Funke R, Garcia C, Fernandez JI, Lanzarini E, Rodriguez J, Ceroni M, Crovari F, Pinto G, Musleh M, Gonzalez P. National Trend in Laparoscopic Gastrectomy for Gastric Cancer: Analysis of the National Register in Chile. Dig Surg 2018; 35:461-468. [PMID: 29669338 DOI: 10.1159/000485197] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 11/09/2017] [Indexed: 12/17/2022]
Abstract
INTRODUCTION The laparoscopic approach for the treatment of gastric cancer has many advantages. However, outside Asia there are few large case series. AIM To evaluate postoperative morbidity, long-term survival, changes in indication, and the results of laparoscopic gastrectomy. METHODS We included all patients treated with a laparoscopic gastrectomy from 2005 to 2014. We compared results across 2 time periods: 2005-2011 and 2012-2014. Median follow-up was 39 months. RESULTS Two hundred and eleven patients underwent a laparoscopic gastrectomy (median age 64 years, 55% male patients). In 135 (64%) patients, a total gastrectomy was performed. Postoperative morbidity occurred in 29%. A significant increase in the indication of laparoscopic surgery for stages II-III (32 vs. 45%; p = 0.04) and higher lymph node count (27 vs. 33; p = 0.002) were observed between the 2 periods. The 5-year overall survival was 72%. According to the stage, the 5-year overall survival was 85, 63, and 54% for stage I, II, and III respectively (p < 0.001). CONCLUSIONS There was an acceptable rate of postoperative complications and the long-term survival was in accordance with the disease stage. There was a higher indication of laparoscopic surgery in stages II-III disease, and higher lymph node count in the latter period of this study.
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Affiliation(s)
- Enrique Norero
- Digestive Surgery Department, Hospital Dr. Sotero del Rio, Esophagogastric Surgery Unit, Pontificia Universidad Católica de Chile, Santiago, Chile.,Digestive Surgery Department, Hospital Clínico Pontificia Universidad Católica de Chile, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Ricardo Funke
- Digestive Surgery Department, Hospital Clínico Pontificia Universidad Católica de Chile, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Carlos Garcia
- Hospital San Borja Arriaran, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | | | - Enrique Lanzarini
- Hospital Clínico Universidad de Chile, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | | | - Marco Ceroni
- Digestive Surgery Department, Hospital Dr. Sotero del Rio, Esophagogastric Surgery Unit, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Fernando Crovari
- Digestive Surgery Department, Hospital Clínico Pontificia Universidad Católica de Chile, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Gerardo Pinto
- Hospital El Pino, Faculty of Medicine, Universidad Andres Bello, Santiago, Chile
| | - Maher Musleh
- Hospital Clínico Universidad de Chile, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | - Paulina Gonzalez
- Digestive Surgery Department, Hospital Dr. Sotero del Rio, Esophagogastric Surgery Unit, Pontificia Universidad Católica de Chile, Santiago, Chile.,Digestive Surgery Department, Hospital Clínico Pontificia Universidad Católica de Chile, Pontificia Universidad Católica de Chile, Santiago, Chile
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