Universität zu Köln

Chevallay, Mickael, Jung, Minoa, Berlth, Felix, Seung-Hun, Chon, Morel, Philippe and Monig, Stefan (2019). Laparoscopic Surgery for Gastric Cancer: The European Point of View. J. Oncol., 2019. LONDON: HINDAWI LTD. ISSN 1687-8469

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Abstract

Objective. Multiple Asian studies have proved the feasibility of laparoscopic approach for surgical treatment of gastric cancer. The difference between Asian and European patients could limit their application in Europe. We reviewed the literature for European studies comparing open gastrectomy with laparoscopic approach in the treatment of gastric cancer. Method. We searched the keywords gastric cancer and laparoscopy in MEDLINE and EMBASE. We included all studies published between 1990 and 2016 and conducted in Europe. Result. We found 1 randomized and 13 cohort studies which compared laparoscopic with open gastrectomy. We found no mean difference in the number of lymph nodes harvested between laparoscopic and open group (mean difference: -0.49; 95% CI: -2.42; 1.44, p=0.62) and no difference of short-term or long-term mortality (short-term odds ratio: 0.74, p=0.47; long-term odds ratio: 0.65, p=0.11). We found a longer operative time in the laparoscopic group (mean difference: 35.75 minutes, p<0.01) but lesser reoperation rate than the open group (odds ratio: 1.55 p=0.01). Conclusion. European based population studies found results comparable with their Asian counterpart. In the current state of evidence, minimally invasive surgery for gastric cancer is safe and can achieve the same oncological results.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Chevallay, Mickael UNSPECIFIED UNSPECIFIED UNSPECIFIED Jung, Minoa UNSPECIFIED UNSPECIFIED UNSPECIFIED Berlth, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Seung-Hun, Chon UNSPECIFIED UNSPECIFIED UNSPECIFIED Morel, Philippe UNSPECIFIED UNSPECIFIED UNSPECIFIED Monig, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-138860
DOI:	10.1155/2019/8738502
Journal or Publication Title:	J. Oncol.
Volume:	2019
Date:	2019
Publisher:	HINDAWI LTD
Place of Publication:	LONDON
ISSN:	1687-8469
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Oncology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13886