Long-Term Oncological Outcomes of Reduced Three-Port Laparoscopic Gastrectomy for Early-Stage Gastric Carcinoma: a Retrospective Large-Scale Multi-Institutional Study

Jun Ho Lee; 이한홍; Oh Jeong; 서호석; Min Gew Choi; Seong Yeob Ryu; Tae Sung Sohn; Jae Moon Bae; Sung Kim

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자료유형: 학술저널

저자정보: Jun Ho Lee (Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) 이한홍 (가톨릭대학교) Oh Jeong (Department of Surgery Chonnam National University Medical School Gwangju Korea) 서호석 (가톨릭대학교) Min Gew Choi (Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) Seong Yeob Ryu (Department of Surgery Chonnam National University Medical School Gwangju Korea) Tae Sung Sohn (Sungkyunkwan University School of Medicine Seoul) Jae Moon Bae (Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) Sung Kim (Sungkyunkwan University School of Medicine Seoul)

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제21권 제1호

발행연도: 2021.1

수록면: 93 - 102 (10page)

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Purpose: With advances in surgical techniques, reduced-port laparoscopic surgery is increasingly being performed for the treatment of gastric carcinoma. Many studies have reported satisfactory short-term outcomes after reduced 3-port laparoscopic gastrectomy (LG). The aim of this study was to investigate the long-term oncological outcomes of 3-port LG in patients with gastric carcinoma. Materials and Methods: We reviewed the medical records of 1,117 patients who underwent LG for gastric carcinoma in three major institutions between 2012 and 2015. The data showed that 460 patients underwent 3-port LG without assistance, and 657 underwent conventional 5-port LG. We compared the overall and disease-free survival rates between the 2 groups. Results: There were 642 male and 475 female patients with a mean age of 56.1 years. Among them, 1,028 (92.0%) underwent distal gastrectomy and 89 (8.0%) underwent total gastrectomy. In the final pathologic examination, 1,027 patients (91.9%) were stage I, 73 (6.5%) were stage II, and 17 (1.5%) were stage III, and there were no significant difference in the pathologic stage between groups. The 3- and 5-port LG groups showed no significant differences in the 5-year overall survival (94.3% vs. 96.7%, P=0.138) or disease-free survival (94.3% vs. 95.9%, P=0.231). Stratified analyses according to pT and pN stages also showed no significant differences in overall or disease-free survival between the two groups. Conclusions: Long-term survival after 3- and 5-port LG was comparable in patients with early-stage gastric carcinoma. The 3-port technique requiring limited surgical assistance may be an appropriate surgical option for this patient population.

#Gastrectomy #Laparoscopy #Reduced port surgery #Stomach neoplasm #Survival

참고문헌 (25)

참고문헌 신청

엄방울 / 2016 / Korean Gastric Cancer Association Nationwide Survey on Gastric Cancer in 2014 / Journal of Gastric Cancer 16(3):131~140

Kim W / 2016 / Decreased morbidity of laparoscopic distal gastrectomy compared with open distal gastrectomy for stage i gastric cancer : short-term outcomes from a multicenter randomized controlled trial(KLASS-01) / Ann Surg 263:28~35

Viñuela EF / 2012 / Laparoscopic versus open distal gastrectomy for gastric cancer : a meta-analysis of randomized controlled trials and high-quality nonrandomized studies / Ann Surg 255:446~456

Kim SM / 2017 / Advancement of single-port and reduced-port laparoscopic gastrectomy for gastric cancer : a systemic review / Ann Laparosc Endosc Surg 2:71

김호군 / 2018 / Transition from Conventional to Reduced-Port Laparoscopic Gastrectomy to Treat Gastric Carcinoma: a Single Surgeon's Experience from a Small-Volume Center / Journal of Gastric Cancer 18(2):172~181

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