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Surgical Endoscopy

, Volume 25, Issue 4, pp 1182–1186 | Cite as

Long-term outcome and survival with laparoscopy-assisted pylorus-preserving gastrectomy for early gastric cancer

  • Xiaohua Jiang
  • Naoki Hiki
  • Souya Nunobe
  • Tetsu Fukunaga
  • Koshi Kumagai
  • Kyoko Nohara
  • Hiroshi Katayama
  • Shigekazu Ohyama
  • Takeshi Sano
  • Toshiharu Yamaguchi
Article

Abstract

Background

Laparoscopically assisted pylorus-preserving gastrectomy (LAPPG) is introduced as a function-preserving operation with minimal invasion for early gastric cancer (EGC). This study aimed to investigate the long-term outcome and survival with LAPPG.

Methods

From January 2005 to July 2008, 188 patients with EGC underwent LAPPG. The surgical and long-term outcomes and survival were assessed retrospectively.

Results

The accuracy of the preoperative EGC diagnosis was 92.6%. The median follow-up period was 38 months (range, 2–63 months). Two patients experienced gallstones, and three patients experienced a second primary EGC. One patient with T3N0 gastric cancer died of peritoneal metastasis, and four patients died of other causes. The overall 3-year survival rate was 97.8%, and the disease-specific 3-year survival rate was 99.3%.

Conclusions

The LAPPG procedure is safe in terms of satisfactory long-term outcome and survival for patients with EGC in the middle third of the stomach.

Keywords

Early gastric cancer Laparoscopy-assisted pylorus-preserving gastrectomy Long-term outcome 

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Xiaohua Jiang
    • 1
    • 2
  • Naoki Hiki
    • 1
  • Souya Nunobe
    • 1
  • Tetsu Fukunaga
    • 1
  • Koshi Kumagai
    • 1
  • Kyoko Nohara
    • 1
  • Hiroshi Katayama
    • 1
  • Shigekazu Ohyama
    • 1
  • Takeshi Sano
    • 1
  • Toshiharu Yamaguchi
    • 1
  1. 1.Department of Gastroenterological Surgery, Gastroenterological CenterCancer Institute Hospital, Japanese Foundation for Cancer ResearchTokyoJapan
  2. 2.Department of General SurgeryZhongda Hospital, Southeast UniversityNanjingChina

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