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Feasibility of laparoscopic gastrectomy for advanced gastric cancer with positive peritoneal cytology

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Abstract

Purpose

The role of gastrectomy for patients with positive peritoneal cytology, but a negative macroscopic peritoneal implant (P−/cy+), remains unclear. The aim of this study was to evaluate laparoscopic gastrectomy for P−/cy+ patients.

Methods

This study reviewed a prospectively maintained gastric cancer database of gastric-cancer patients those underwent surgical resection. P−/cy+ gastric cancer that had invaded the subserosa, or deeper layers, of the stomach wall without distant organ metastases was considered operable in this institution. P−/cy+ patients underwent either open or laparoscopic gastrectomy with D2 lymphadenectomy. The short-term results were examined to assess differences in outcome between the two groups.

Results

Eighteen P−/cy+ patients without distant organ metastases underwent surgery between 2000 and 2010. Laparoscopic gastrectomy was performed in nine patients and open gastrectomy in nine patients. The estimated blood loss was significantly smaller, the resumption of food intake earlier, and the length of postoperative hospital stay shorter in the patients that underwent laparoscopic gastrectomy than in the patients that underwent open gastrectomy. There were no significant differences in the 2-year survival rates between the groups.

Conclusion

Laparoscopic gastrectomy for P−/cy+ patients is a minimally invasive and safe oncologic procedure with good short-term results.

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Conflict of interest

No authors have any conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Surgery and Oncology, Graduate School of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan

    Naoki Yamanaka, Eishi Nagai, Kenoki Ohuchida, Junji Ueda, Hiroki Toma, Shuji Shimizu & Masao Tanaka

  2. Department of Anatomic Pathology, Graduate School of Medicine, Kyushu University, Fukuoka, Japan

    Yasunori Oda

Authors
  1. Naoki Yamanaka
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  2. Eishi Nagai
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  3. Kenoki Ohuchida
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  4. Junji Ueda
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  5. Hiroki Toma
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  6. Shuji Shimizu
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  7. Yasunori Oda
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  8. Masao Tanaka
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Corresponding author

Correspondence to Eishi Nagai.

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Yamanaka, N., Nagai, E., Ohuchida, K. et al. Feasibility of laparoscopic gastrectomy for advanced gastric cancer with positive peritoneal cytology. Surg Today 43, 859–864 (2013). https://doi.org/10.1007/s00595-012-0338-y

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  • DOI: https://doi.org/10.1007/s00595-012-0338-y

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