The role of minimally invasive gastrectomy in the treatment of gastric cancer is not well defined.
Dr Varela and colleagues from California compared the operative outcomes and adequacy of resection of laparoscopic gastrectomy to open gastrectomy for gastric cancer.
The clinical course of 15 consecutive patients who underwent minimally invasive gastrectomy or esophagogastrectomy for gastric cancer were evaluated.
The team compared these patients with 21 patients who underwent open gastrectomy.
The researcher's main outcome measures included operative time, blood loss, length of stay, morbidity, and 30-day mortality.
In addition, the research team measured the adequacy of lymphadenectomy and resection margins.
|Intraoperative blood loss was lower in the laparoscopic group|
|American Journal of Surgery|
There was no conversion to laparotomy in the laparoscopic group.
The researchers found that intraoperative blood loss was significantly lower in the laparoscopic group.
There was no significant differences in the mean operative time, transfusion rate, or median length of stay between the 2 groups.
The team observed no significant differences in morbidity, or number of lymph nodes harvested between the 2 groups.
The researchers noted that resection margins were negative in all patients.
There were no leaks, and the 30-day mortality was 0 in both groups.
The research team showed that anastomotic strictures were higher in the laparoscopic patients.
Dr Varela's team concludes, “Laparoscopic gastrectomy is feasible and can be performed safely with adequate lymphadenectomy compared with open gastrectomy.”