Minimally invasive versus open surgery for gastric cancer in turkish population original article


Aǧcaoǧlu O., ŞENGÜN B., Tarcan S., AYTAÇ E., Bayram O., Zenger S., ...Daha Fazla

Turkish Journal of Surgery, cilt.37, sa.2, ss.142-150, 2021 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.47717/turkjsurg.2021.4506
  • Dergi Adı: Turkish Journal of Surgery
  • Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.142-150
  • Anahtar Kelimeler: D2 dissection, Gastric cancer, Laparoscopic surgery, Minimally invasive, Robotic gastrectomy
  • İstanbul Üniversitesi Adresli: Evet

Özet

Objective: In this study, it was aimed to compare short-term outcomes of minimally invasive and open surgery for gastric cancer in the Turkish population carrying both European and Asian characteristics. Material and Methods: Short-term (30-day) outcomes of the patients undergoing minimally invasive and open gastrectomy with D2 lymphadenectomy for gastric adenocarcinoma between January 2013 and December 2017 were compared. Patient demographics, history of previous abdominal surgery, comorbidities, short-term perioperative outcomes and histopathological results were evaluated between the study groups. Results: There were a total of 179 patients. Fifty (28%) patients underwent minimally invasive [laparoscopic (n= 19) and robotic (n= 31)] and 129 (72%) patients underwent open surgery. There were no differences between the two groups in terms of age, sex, body mass index and ASA scores. While operative time was significantly longer in the minimally invasive surgery group (p< 0.0001), length of hospital stay and operative morbidity were comparable between the groups. Conclusion: While both laparoscopic and robotic surgery is safe and feasible in terms of short-term outcomes in selected patients, long operating time and increased cost are the major drawbacks of the robotic technique preventing its widespread use.