Negative Impact of Endoscopic Submucosal Dissection on Short-Term Surgical Outcomes of Subsequent Laparoscopic Distal Gastrectomy for Gastric Cancer

ConclusionsESD after laparoscopic distal gastrectomy is largely safe in terms of short-term surgical outcomes, but a short interval between the two procedures and a large ESD scar can make subsequent operation difficult.
Source: Annals of Surgical Oncology - Category: Cancer & Oncology Source Type: research

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ConclusionsCLEAN-NET with SNNS preserved a better QOL and nutrition status than LADG in patients with early gastric cancer.
Source: Gastric Cancer - Category: Gastroenterology Source Type: research
In Reply We appreciate the thoughtful responses from Rosa and Alfieri to our article on the safety of laparoscopic gastrectomy after neoadjuvant chemotherapy in a pilot randomized clinical trial (RCT). Preoperative chemotherapy and laparoscopic surgery for advanced gastric cancer have been a research hotspot for nearly 20 years. However, high-quality evidence on efficacy and safety of laparoscopic gastrectomy in patients with neoadjuvant chemotherapy is absent, which drove us to conduct this single-center pilot RCT. We estimated the sample size based on primary outcome (3-year recurrence free survival) and recruited the re...
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
To the Editor We read with great interest the article by Li et al who compared, in a phase 2, open-label, noninferiority randomized clinical trial, laparoscopic distal gastrectomy and open distal gastrectomy in patients with clinical T2-T4N+M0 gastric cancer (GC) who were receiving neoadjuvant chemotherapy.
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
AbstractBackgroundLaparoscopic proximal gastrectomy (LPG) is regarded as a less invasive surgery than laparoscopic total gastrectomy (LTG) for early gastric cancer located on the proximal side of the stomach. However, whether LPG is more effective than LTG remains unclear.MethodsA systematic literature search of studies assessing short-term surgical and nutritional outcomes after LPG and LTG was conducted. A meta-analysis of surgical outcomes (operative time, intraoperative estimated blood loss, postoperative complications, and length of hospital stay) and nutritional outcomes (decrease in body weight, albumin, hemoglobin,...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsFunctional outcomes of the standardized DA were satisfactory and feasible. Our intracorporeal Billroth-I reconstruction, by resecting two-thirds of the stomach, can be one of the standard reconstruction methods after a laparoscopic distal gastrectomy.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
Background: Totally laparoscopic total gastrectomy (TLTG) and laparoscopic-assisted total gastrectomy (LATG) are two common surgical approaches for upper and middle gastric cancer. Which surgical approach offers more advantages is still controversial due to a lack of evidence from randomized controlled trials (RCTs). This meta-analysis was conducted to compare the short-term outcomes between the two surgical approaches. Methods: A systematic literature search was performed to evaluate short-term outcomes between TLTG and LATG, including overall postoperative complications, anastomosis-related complications, time for a...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research
Publication date: February 2020Source: European Journal of Surgical Oncology, Volume 46, Issue 2Author(s): Sang Eok Lee, In Seok Choi, Nak Song Sung, Seung Jae Lee, Won Jun Choi
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
Publication date: February 2020Source: European Journal of Surgical Oncology, Volume 46, Issue 2Author(s): Ji-Hyeon Park, Seong-Ho Kong, Shin-Hoo Park, Jong-Ho Choi, Do-Joong Park, Hyuk-Joon Lee, Han-Kwang Yang
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
Publication date: February 2020Source: European Journal of Surgical Oncology, Volume 46, Issue 2Author(s): Dong-Seok Han
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
Background: Only few surgeons have tried to perform laparoscopic combined resection for T4b gastric cancer. The purpose of this study was to investigate the feasibility of laparoscopic combined resection through a comparison of the clinical outcomes between cT4a and cT4b cases.Methods: We reviewed the medical charts of patients who underwent laparoscopic gastrectomy for clinically T4 gastric cancer from May 2014 and July 2018. During this period, 62 patients with serosa-positive gastric cancer underwent laparoscopic curative surgery. The patients were divided into the following groups: patients who underwent gastrectomy an...
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
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