Totally laparoscopic gastrectomy for gastric cancer after endoscopic submucosal dissection : a propensity score matching analysis

Ebihara, Yuma; Okushiba, Shunichi; Kurashima, Yo et al.

Langenbeck's Archives of Surgery, 2015, 400(8), 967-972

Permalink : https://hdl.handle.net/2115/63709

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アクセス権
open access
URI
https://hdl.handle.net/2115/63709
タイトル
Totally laparoscopic gastrectomy for gastric cancer after endoscopic submucosal dissection : a propensity score matching analysis
その他のタイトル
Totally LG for gastric cancer after ESD
著者
Ebihara, Yuma ; Okushiba, Shunichi ; Kurashima, Yo ; Noji, Takehiro ; Nakamura, Toru ; Murakami, Soichi ; Tamoto, Eiji ; Tsuchikawa, Takahiro ; Okamura, Keisuke ; Shichinohe, Toshiaki ; Hirano, Satoshi
e-Rad_Researcher
50632981
著者名
Ebihara, Yuma
著者名
Okushiba, Shunichi
著者名
Kurashima, Yo
e-Rad_Researcher
10739296
著者名
Noji, Takehiro
e-Rad_Researcher
70645796
著者名
Nakamura, Toru
著者名
Murakami, Soichi
著者名
Tamoto, Eiji
e-Rad_Researcher
50507572
著者名
Tsuchikawa, Takahiro
著者名
Okamura, Keisuke
e-Rad_Researcher
70374353
著者名
Shichinohe, Toshiaki
e-Rad_Researcher
50322813
著者名
Hirano, Satoshi
言語
英語
キーワード
Totally laparoscopic gastrectomy
Endoscopic submucosal dissection
Early gastric cancer
発行日
2015-12
出版者
Springer
収録物名
Langenbeck's Archives of Surgery
巻(号)
400(8)
ページ
967-972
抄録
Purpose: A recently developed endoscopic mucosal resection (EMR) procedure, endoscopic submucosal dissection (ESD), makes en-bloc resection possible for mucosal cancer regardless of lesion size. ESD involves deeper and wider dissection of the gastric wall, and may therefore increase the difficulty of subsequent totally laparoscopic gastrectomy (TLG) and the risk of complications. However, the influence of ESD on subsequent TLG has yet to be demonstrated. The purpose of the present study was to clarify the influence of ESD on subsequent TLG. Methods: Between March 2006 and December 2013, we retrospectively collected data of 38 patients undergoing TLG with ESD (ESD Group) and propensity score matched 38 patients undergone TLG without ESD (non-ESD Group) for treatment of gastric cancer at Tonan Hospital and Hokkaido University Hospital. The covariates for propensity score matching were: age, sex, American Society of Anesthesiologists score, body mass index, and type of surgery. Clinicopathologic characteristics and surgical outcomes were compared between the two groups. Results: Operative times for TLG in ESD group and non-ESD group were 228.2 ± 53.9 and 228.1 ± 52.7 min (P=0.989), and blood loss was 45.7 ± 83.0, 71.3 ± 74.5 g, respectively (P=0.161). There were no significant differences between the groups of ESD and non-ESD in postoperative recovery and postoperative complications. In totally laparoscopic distal gastrectomy (TLDG), the patients with ESD-resected specimens of more than 50 mm in diameter had significantly longer operative times (P=0.009). Conclusions: In this study, TLG is feasible procedure treatment of gastric cancer regardless of ESD. However, TLDG is more difficult in cases where the ESD-resected specimen is more than 50 mm in diameter.
資源タイプ
学術雑誌論文
出版タイプ
Accepted Manuscript
権利情報
The final publication is available at link.springer.com
PISSN
1435-2443
NCID
AA11211080
関連情報
PMID
26476630
関連情報 (isVersionOf)
出版社版DOI
https://doi.org/10.1007/s00423-015-1349-0