Skip to main content

Advertisement

SpringerLink
Log in

Laparoscopic total gastrectomy in gastric cancer*

  • Main Topic
  • Published:
European Surgery Aims and scope Submit manuscript

Summary

BACKGROUND: The aim of this retrospective study was to investigate the feasibility and safety of laparoscopic total gastrectomy in gastric cancer. METHODS: From 01/2008 to 09/2011 laparoscopic total gastrectomy was performed in 11 patients with gastric carcinoma. RESULTS: All patients had histopathologically diagnosed gastric cancer according to UICC-TNM classification: pT1 (n = 2), pT2 (n = 3), pT3 (n = 3), pT4 (n = 2), one case without histopathological malignancy in the postoperative specimen. Mean age was 69 years, mean BMI 25 and the average tumour size was 4.6 (1–10) cm. In every case R0-resection could be obtained, the amount of resected lymph nodes (25 mean) was oncologically reasonable. Conversion to open surgery was performed in two patients. Operation time was long compared to experiences in open surgery, 374 (290–465) min. There was no mortality and complication rate was acceptable. Postoperative stay was 18 days mean. CONCLUSIONS: Based on our experience laparoscopic total gastrectomy is a feasible option for treating gastric carcinomas. R0-resection in all cases and the amount of resected lymph nodes demonstrate adherence to oncologic principles.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Maehara Y, Hasuda S, Koga T, et al. Postoperative outcome and sites of recurrence in patients following curative resection of gastric cancer. Br J Surg 2008;87:353–7

    Article  Google Scholar 

  • Uyama I, Sugioka A, Matsui H, et al. Laparoscopic D2 lymph node dissection for advanced gastric cancer in the middle or lower third portion of the stomach. Gastric Cancer 2000;3:50–5

    Article  PubMed  Google Scholar 

  • Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases. Surg Endosc 2008;22:1161–4

    Article  PubMed  CAS  Google Scholar 

  • Kawamura H, Homma S, Yokota R, et al. Inspection of safety and accuracy of D2 lymph node dissection in laparoscopy-assisted distal gastrectomy. World J Surg 2008;32:2366–70

    Article  PubMed  Google Scholar 

  • Kim Y, Baik Y, Yun Y, et al. Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: results of a prospective randomized clinical trial. Ann Surg 2008;248:721–7

    Article  PubMed  Google Scholar 

  • Shimizu S, Uchiyama A, Mizumoto K, et al. Laparoscopically assisted distal gastrectomy for early gastric cancer. Is it superior to open surgery? Surg Endosc 2000;14:27–31

    Article  PubMed  CAS  Google Scholar 

  • Naka T, Ishikura T, Shibata S, et al. Laparoscopy-assisted and open distal gastrectomies for early gastric cancer at a general hospital in Japan 2005. Hepato-Gastroenterology 2005;52:293–7

    PubMed  Google Scholar 

  • Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases. Surg Endosc 2008;22:1161–4

    Article  PubMed  CAS  Google Scholar 

  • Kitano S, Shiraishi N, Uyama I, et al. A multicenter study on oncological outcome of laparoscopic gastrectomy for early cancer in Japan. Ann Surg 2007;245:68–72

    Article  PubMed  Google Scholar 

  • Azagra JS, Goergen M, De Simone P, et al. Minimally invasive surgery for gastric cancer. Surg Endosc 1999;13:351–7

    Article  PubMed  CAS  Google Scholar 

  • Huscher CGS, Mingoli A, Sgarzini G, et al. Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five year result of a randomized prospective trial. Ann Surg 2005;241:232–7

    Article  PubMed  Google Scholar 

  • Dulucq JL, Wintringer P, Perissat J, et al. Completely laparoscopic total and partial gastrectomy for benign and malignant disease: a single institute's prospective analysis. J Am Coll Surg 2005;200:191–7

    Article  PubMed  Google Scholar 

  • Uyama I, Sugioka A, Fujita J, et al. Laparoscopic D2 lymph node dissection for advanced gastric cancer located in the middle or lower third portion of the stomach. Gastric Cancer 2000;3:50–5

    Article  PubMed  Google Scholar 

  • Song K, Kim S, Park C, et al. Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for gastric cancer: technical and oncological aspects. Surg Endosc 2008;22:655–9

    Article  PubMed  CAS  Google Scholar 

  • Lee J, Kim Y, Ryu K, et al. A phase-II clinical trial of laparoscopy assisted distal gastrectomy with D2 lymph node dissection for gastric cancer patients. Ann Surg Oncol 2007;14:3148–53

    Article  PubMed  Google Scholar 

  • Lee J, Han H. A prospective randomized study comparing open vs. laparoscopy-assisted distal gastrectomy in early cancer: early results. Surg Endosc 2005;19:168–73

    Article  PubMed  Google Scholar 

  • Kim H, Hyung W, Cho G, et al. Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report – a phase III multicenter, prospective, randomized trial (KLASS Trial). Ann Surg 2010;251:417–20

    Article  PubMed  Google Scholar 

  • Sakuramoto S, Kikuchi S, Futawatari N, et al. Technique of esophagojejunostomy using transoral placement of the pretilted anvil head after laparoscopic gastrectomy for gastric cancer. Surgery 2010;147:742–7

    Article  PubMed  Google Scholar 

  • Mochiki E, Toyomasu Y, Ogata K, et al. Laparoscopically assisted total gastrectomy with lymph node dissection for upper and middle gastric cancer. Surg Endosc 2008;22:1997–2002

    Article  PubMed  Google Scholar 

  • Du J, Li J, Li Y, et al. Laparoscopically-assisted palliative total gastrectomy in patients with stage IV or metastatic gastric cancer: is it whorthwhile? Hepato-Gastroenterology 2008;55:1905–12

    Google Scholar 

  • Goh P, Tekant Y, Kum CK, et al. Totally intra-abdominal laparoscopic Billroth II gastrectomy. Surg Endosc 1992;6:160

    Article  PubMed  CAS  Google Scholar 

  • Feliu X, Besora P, Claveria R, et al. Laparoscopic treatment of gastric tumors. J Laparoendosc Adv Surg Tech A 2007;17:147–52

    PubMed  Google Scholar 

  • Jeong G, Cho G, Kim H, et al. Laparoscopy-assisted total gastrectomy for gastric cancer: a multicenter retrospective analysis. Surgery 2009;146:469–74

    Article  PubMed  Google Scholar 

  • Huscher CGS, Mingoli A, Sgarzini G, et al. Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five year result of a randomized prospective trial. Ann Surg 2005;241:232–7

    Article  PubMed  Google Scholar 

  • Lee J, Yom C, Han H, et al. Comparison of long term outcomes of laparoscopy assisted and open distal gastrectomy for early gastric cancer. Surg Endosc 2009;23:1759–63

    Article  PubMed  Google Scholar 

  • Zhao Y, Yu P, Hao Y, et al. Comparison of outcomes for laparoscopically assisted and open radical distal gastrectomy with lymphadenectomy for advanced gastric cancer. Surg Endosc 2011;25:2960–6

    Article  PubMed  Google Scholar 

  • Dulucq JL, Wintringer P, Perissat J, et al. Completely laparoscopic total and partial gastrectomy for benign and malignant disease: a single institute prospective analysis. J Am Coll Surg 2005;200:191–7

    Article  PubMed  Google Scholar 

  • Huang JL, Wei Hb, Zheng ZH, et al. Laparoscopy-assisted D2 radical distal gastrectomy for advanced gastric cancer. Dig Surg 2010;27:291–6

    Article  PubMed  Google Scholar 

  • Du J, Zheng J, Li Y, et al. Laparoscopy-assisted total gastrectomy with extended lymph node resection for advanced gastric cancer – reports of 82 cases. Hepato-Gastroenterology 2010;57:1589–94

    PubMed  Google Scholar 

  • Moisan F, Norero E, Slako M, et al. Completely laparoscopic versus open gastrectomy for early and advanced gastric cancer: a matched cohort study. Surg Endosc 2011; [Epub ahead of print]. DOI: 10.1007/s00464-011-1933-5

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Hospital SMZ Floridsdorf, Vienna, Austria

    P. Patri, A. Tuchmann, C. Hollinsky & P. Razek

Authors
  1. P. Patri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Tuchmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Hollinsky
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Razek
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to P. Patri.

Additional information

*: A tribute to Wolfgang Wayand, Head of Department, 1 January 1985–31 March 2012, Department of Surgery II, General Hospital Linz, Linz, Austria

Rights and permissions

Reprints and permissions

About this article

Cite this article

Patri, P., Tuchmann, A., Hollinsky, C. et al. Laparoscopic total gastrectomy in gastric cancer* . Eur Surg 44, 6–9 (2012). https://doi.org/10.1007/s10353-011-0067-2

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10353-011-0067-2

Keywords

Search

Navigation