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A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy
BACKGROUND: Minimally invasive surgery has been slowly introduced into the field of advanced gastric cancer (AGC) surgery. However, the appropriate extent of omentectomy during laparoscopic gastrectomy for AGC is unknown. METHODS: From July 2004 to December 2011, 146 patients with serosa-negative ad...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986882/ https://www.ncbi.nlm.nih.gov/pubmed/24669875 http://dx.doi.org/10.1186/1477-7819-12-64 |
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author | Kim, Dong Jin Lee, Jun Hyun Kim, Wook |
author_facet | Kim, Dong Jin Lee, Jun Hyun Kim, Wook |
author_sort | Kim, Dong Jin |
collection | PubMed |
description | BACKGROUND: Minimally invasive surgery has been slowly introduced into the field of advanced gastric cancer (AGC) surgery. However, the appropriate extent of omentectomy during laparoscopic gastrectomy for AGC is unknown. METHODS: From July 2004 to December 2011, 146 patients with serosa-negative advanced gastric cancer were divided into the total omentectomy group (TO group, n = 80) and the partial omentectomy group (PO group, n = 66). The clinicopathologic characteristics, surgical outcomes, recurrence pattern and survival were analyzed. RESULTS: There were no significant differences in the clinicopathologic features between the two groups, except for depth of invasion; more T3 (subserosal invasion) cases (65%) were included in total omentectomy group (P = 0.011). The mean time for PO was significantly shorter (35.1 ± 13.0 min) than TO (50.9 ± 15.3 min) (P %0.001), and there were two omentectomy-related complications in the TO group: spleen and mesocolon injuries. Recurrence occurred in 14 (17.5%) and 5 (7.6%) cases in the TO and PO group, respectively (P = 0.054). Disease-free survival (TO versus PO: 81.5% versus 89.3%, P = 0.420) and disease-specific survival (TO versus PO: 89% versus 94.7%) were not significantly different between the two groups. In the case-matched analysis using propensity score matching, there was no difference in disease-free survival (TO versus PO: 83.3% versus 90.5%, P = 0.442). CONCLUSIONS: Partial omentectomy might be an oncologically safe procedure during laparoscopic gastrectomy for serosa-negative advanced gastric cancer, similar to early gastric cancer. |
format | Online Article Text |
id | pubmed-3986882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39868822014-04-16 A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy Kim, Dong Jin Lee, Jun Hyun Kim, Wook World J Surg Oncol Research BACKGROUND: Minimally invasive surgery has been slowly introduced into the field of advanced gastric cancer (AGC) surgery. However, the appropriate extent of omentectomy during laparoscopic gastrectomy for AGC is unknown. METHODS: From July 2004 to December 2011, 146 patients with serosa-negative advanced gastric cancer were divided into the total omentectomy group (TO group, n = 80) and the partial omentectomy group (PO group, n = 66). The clinicopathologic characteristics, surgical outcomes, recurrence pattern and survival were analyzed. RESULTS: There were no significant differences in the clinicopathologic features between the two groups, except for depth of invasion; more T3 (subserosal invasion) cases (65%) were included in total omentectomy group (P = 0.011). The mean time for PO was significantly shorter (35.1 ± 13.0 min) than TO (50.9 ± 15.3 min) (P %0.001), and there were two omentectomy-related complications in the TO group: spleen and mesocolon injuries. Recurrence occurred in 14 (17.5%) and 5 (7.6%) cases in the TO and PO group, respectively (P = 0.054). Disease-free survival (TO versus PO: 81.5% versus 89.3%, P = 0.420) and disease-specific survival (TO versus PO: 89% versus 94.7%) were not significantly different between the two groups. In the case-matched analysis using propensity score matching, there was no difference in disease-free survival (TO versus PO: 83.3% versus 90.5%, P = 0.442). CONCLUSIONS: Partial omentectomy might be an oncologically safe procedure during laparoscopic gastrectomy for serosa-negative advanced gastric cancer, similar to early gastric cancer. BioMed Central 2014-03-26 /pmc/articles/PMC3986882/ /pubmed/24669875 http://dx.doi.org/10.1186/1477-7819-12-64 Text en Copyright © 2014 Kim et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Kim, Dong Jin Lee, Jun Hyun Kim, Wook A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy |
title | A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy |
title_full | A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy |
title_fullStr | A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy |
title_full_unstemmed | A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy |
title_short | A comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy |
title_sort | comparison of total versus partial omentectomy for advanced gastric cancer in laparoscopic gastrectomy |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986882/ https://www.ncbi.nlm.nih.gov/pubmed/24669875 http://dx.doi.org/10.1186/1477-7819-12-64 |
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