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Comparison between total laparoscopy and laparoscopy-assisted distal gastrectomy for gastric cancer: A meta-analysis based on Japanese and Korean articles

OBJECTIVES: To assess the safety and feasibility of total laparoscopy distal gastrectomy (TLDG). METHODS: This meta-analysis was conducted between April and July 2013 in Sichuan Cancer Hospital, Chengdu, China. We searched PubMed, EMBASE and China Knowledge Resource Integrated Database updated until...

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Detalles Bibliográficos
Autores principales: Xiao, Shuo-Meng, Gao, Xiao-Jin, Zhao, Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362143/
https://www.ncbi.nlm.nih.gov/pubmed/25399207
Descripción
Sumario:OBJECTIVES: To assess the safety and feasibility of total laparoscopy distal gastrectomy (TLDG). METHODS: This meta-analysis was conducted between April and July 2013 in Sichuan Cancer Hospital, Chengdu, China. We searched PubMed, EMBASE and China Knowledge Resource Integrated Database updated until May 2013. Eight retrospective studies and one prospective study involving 2,046 total patients were included. RESULTS: The results showed that TLDG was associated with lower blood loss (mean difference=-22.39, p=0.04). and a greater number of harvested lymph nodes (mean difference=2.74, p=0.02). There was no significant difference between the 2 groups in operation time, time to first flatus, length of postoperative hospital stay, and postoperative complications. CONCLUSION: Compared with laparoscopy-assisted distal gastrectomy, TLDG resulted in reduced blood loss, and a greater number of harvested lymph nodes. Total laparoscopy distal gastrectomy is safe and feasible for gastric cancer.