Laparoscopy-assisted distal gastrectomy has been beneficial in terms of pain, recovery, and morbidity when compared with open surgery with equal oncologic outcome.
There has been no clinical study on quality of life.
Dr Young-Woo Kim and colleagues evaluated quality of life after laparoscopy-assisted distal gastrectomy compared with open distal gastrectomy in patients with early gastric cancer.
The team assigned 164 patients with newly diagnosed cT1N0M0 and cT1N1M0 distal gastric cancer either to laparoscopy-assisted distal gastrectomy or open distal gastrectomy from 2003 and 2005.
All patients were asked to complete the European Organization for Research and Treatment of Cancer quality of life -C30 and quality of life -STO22 questionnaires preoperatively and postoperatively on regular follow-up visits.
|Symptom scales such as fatigue was better in the laparoscopy-assisted distal gastrectomy group|
|Annals of Surgery |
The researchers observed significant differences with a more favorable outcome in the laparoscopy-assisted distal gastrectomy group with respect to intraoperative blood loss.
Total amount of analgesics used, the size of the wound, postoperative hospital stay, and quality of life parameters of global health were better in the laparoscopy-assisted distal gastrectomy group.
In addition, most of the scales on patient functioning including physical, role, emotional, and social were significantly better in the laparoscopy-assisted distal gastrectomy group.
Symptom scales such as fatigue, pain, appetite loss, sleep disturbance, dysphasia, gastro-esophageal reflux, and dietary restriction were significantly better in the laparoscopy-assisted distal gastrectomy group.
The team noted that other symptom scales such as anxiety, dry mouth, and body image were also significantly better in the laparoscopy-assisted compared with the open distal gastrectomy group.
Dr Kim‘s team concluded, “Comparison of laparoscopy-assisted distal gastrectomy to open distal gastrectomy in patients with early gastric cancer resulted in improved quality of life outcomes in the patients followed for up to 3 months in the laparoscopy-assisted distal gastrectomy group.”