caa a22 4500 475778677 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004649900005 doi (NATIONALLICENCE)springer-10.1007/s004649900005 Laparoscopically assisted distal gastrectomy for early gastric cancer [Elektronische Daten] Is it superior to open surgery? [S. Shimizu, A. Uchiyama, K. Mizumoto, T. Morisaki, K. Nakamura, H. Shimura, M. Tanaka] Background: The purpose of this study was to compare clinical outcomes between laparoscopically assisted and open distal gastrectomy for early gastric cancer. Methods: The records of 21 patients who underwent laparoscopically assisted distal gastrectomy (LG) for preoperative diagnosis of intramucosal gastric carcinoma between January 1996 and August 1998 were reviewed and compared with those of 31 open distal gastrectomy patients during the same period. Results: Age, gender, and size and histologic differentiation of the lesions were matched. Those located at the body of the stomach (p=0.011) and those macroscopically depressed (p=0.049) were subjected more frequently to open surgery. Laparoscopically assisted gastrectomy required significantly longer operative time (p<0.001) with less extensive lymph node dissection (p<0.001). However, time to start of walking (p=0.032), time to flatus (p=0.002), duration of postoperative fever (p=0.027), and postoperative hospital stay (p=0.001) were significantly shorter in the LG group, and this group had a lower white blood cell count on the first postoperative day (p=0.010). Blood loss and time to oral intake were comparable between the groups. Complications included one conversion to open surgery, one leakage, and one stenosis in the LG group, and two leakages and an atelectasis in the OG group. Conclusions: Although LG requires longer surgical time, this retrospective study suggests that it is superior to open surgery in terms of faster postoperative recoveries, shorter hospital stays, and cosmetic outcomes. Springer-Verlag, 2000 Early gastric cancer nationallicence Gastrectomy nationallicence Laparoscopy nationallicence Shimizu S. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut Uchiyama A. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut Mizumoto K. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut Morisaki T. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut Nakamura K. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut Shimura H. Department of Surgery 1, Fukuoka University Faculty of Medicine, Fukuoka, Japan aut Tanaka M. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 27-31 0930-2794 14:1<27 2000 14 464 https://doi.org/10.1007/s004649900005 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900005 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shimizu S. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Uchiyama A. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Mizumoto K. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Morisaki T. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Nakamura K. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Shimura H. Department of Surgery 1, Fukuoka University Faculty of Medicine, Fukuoka, Japan aut NATIONALLICENCE 700 1- Tanaka M. Department of Surgery 1, Kyushu University Faculty of Medicine, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 27-31 0930-2794 14:1<27 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer