Skip to main content
SpringerLink
Log in

The Long-Term Results of Distal Gastrectomy by Mini-laparotomy in Early Gastric Cancer Patients

  • Original Article
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

An Erratum to this article was published on 24 August 2010

Abstract

Introduction

Radical distal gastrectomy by mini-laparotomy is an alternative surgical treatment modality with technical feasibility in early gastric cancer (EGC) patients. The aim of this study is to assess the oncologic feasibility of distal gastrectomy by mini-laparotomy in EGC patients through a long-term survival analysis based on the prospectively collected data.

Patients and Methods

From January 2003 to November 2003, a total of 53 EGC patients who received distal gastrectomy by laparotomy were enrolled in this study. These patients were divided into two groups, that is, the mini-laparotomy group (ML, n = 22) and the conventional laparotomy group (CL, n = 31). A comparative long-term survival analysis was performed.

Results

The hospital stay was significantly shorter in mini-laparotomy group (P = 0.002). However, there were no significant differences in the pathologic results such as the resection margin and the number of harvested lymph nodes. In long-term survival results, there were no significant differences in disease-free and overall survival rate of the patients according to the method of laparotomy.

Conclusions

Radical distal gastrectomy by mini-laparotomy in EGC patients would be also one of the minimally invasive surgical modality in oncologic aspect.

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

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

EGC:

early gastric cancer

ERAS:

early recovery after surgery

QOL:

quality of life

KNSO:

Korea National Statistical Office

DFS:

disease-free survival

OS:

overall survival

References

  1. Yoshikawa T, Tsuburaya A, Kobayashi O, Sairenji M, Motohashi H, Noguchi Y. Is D2 lymph node dissection necessary for early gastric cancer? Ann Surg Oncol. 2002;9:401–5.

    Article  PubMed  Google Scholar 

  2. Kasakura Y, Fujii M, Mochizuki F, Asaki H, Kobayashi M. Gastrectomy with D2 lymph node dissection in gastric cancer: a retrospective study at a single institution. Int Surg. 2001;86:50–6.

    CAS  PubMed  Google Scholar 

  3. Nitti D, Marchet A, Mammano E, Ambrosi A, Belluco C, Mencarelli R, Maino M, Marconato G, Farinati F, Lise M. Extended lymphadenectomy (D2) in patients with early gastric cancer. Eur J Surg Oncol. 2005;31:875–81.

    Article  CAS  PubMed  Google Scholar 

  4. Kitano S, Shiraishi N, Kakisako K, Yasuda K, Inomata M, Adachi Y. Laparoscopy-assisted Billroth-I gastrectomy (LADG) for cancer: our 10 years' experience. Surg Laparosc Endosc Percutan Tech 2002;12:204–7.

    Article  PubMed  Google Scholar 

  5. Soetikno RM, Gotoda T, Nakanishi Y, Soehendra N. Endoscopic mucosal resection. Gastrointest Endosc 2003;57:567–79.

    Article  PubMed  Google Scholar 

  6. Song J, Oh SJ, Kang WH, Hyung WJ, Choi SH, Noh SH. Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg. 2009;249:927–32.

    Article  PubMed  Google Scholar 

  7. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003;362:1921–8.

    Article  PubMed  Google Scholar 

  8. Veldkamp R, Kuhry E, Hop WC, Jeekel J, Kazemier G, Bonjer HJ, Haglind E, Påhlman L, Cuesta MA, Msika S, Morino M, Lacy AM: Colon cancer laparoscopic or open resection study group (COLOR): laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomized trial. Lancet Oncol 2005; 6: 477–484.

    Article  PubMed  Google Scholar 

  9. Choi YS, Park DJ, Lee HJ, Kim MC, Kim HH, Yang HK. Time required to overcome the laparoscopic assisted distal gastrectomy learning curve in early gastric cancer in terms of operative and clinical parameters. J Korean Surg Soc. 2006;70:370–4.

    Google Scholar 

  10. Nakagoe T, Sawai T, Tsuji T, Ayabe H. Use of minilaparotomy in the treatment of colonic cancer. Br J Surg. 2001;88:831–6.

    Article  CAS  PubMed  Google Scholar 

  11. Nakagoe T, Matsuo T, Nakamura S, Ryu C, Murakami G, Arisawa K. Risk factors preventing success of a minilaparotomy approach in the resection of colorectal cancer. Dig Surg. 2009;26:236–42.

    Article  PubMed  Google Scholar 

  12. Hsu TC. Feasibility of colectomy with mini-incision. Am J Surg. 2005;190:48–50.

    Article  PubMed  Google Scholar 

  13. Syrakos T, Antonitsis P, Zacharakis E, Takis A, Manousari A, Bakogiannis K, Efthimiopoulos G, Achoulias I, Trikoupi A, Kiskinis D. Small-incision (mini-laparotomy) versus laparoscopic cholecystectomy: a retrospective study in a university hospital. Langenbecks Arch Surg. 2004;389:172–7.

    Article  PubMed  Google Scholar 

  14. Turnipseed WD, Hoch JR, Acher CW, Carr SC. Less invasive aortic surgery: the minilaparotomy technique. Surgery. 2000;128:751–6.

    Article  CAS  PubMed  Google Scholar 

  15. Fleshman JW, Fry RD, Birnbaum EH, Kodner IJ. Laparoscopic-assisted and minilaparotomy approaches to colorectal diseases are similar in early outcome. Dis Colon Rectum. 1996;39:15–22.

    Article  CAS  PubMed  Google Scholar 

  16. Japanese Gastric Cancer Association. Japanese Classification of Gastric Carcinoma—2nd English edition. Gastric Cancer. 1998;1:10–24.

    Article  PubMed  Google Scholar 

  17. Hur H, Jee SB, Song KY, Kim JJ, Chin HM, Kim W, Jeon HM. Efficacy of minilaparotomy for early gastric cancer. J Korean Surg Soc. 2008;74:192–198.

    Google Scholar 

  18. Sobin LH, Wittekind CH, editors. International Union Against Cancer (UICC): TNM lassification of malignant tumours. 6th ed. New York: Wiley, 2006.

    Google Scholar 

  19. Hochwald SN, Brennan MF, Klimstra DS, Kim S, Karpeh MS. Is lymphadenectomy necessary for early gastric cancer? Ann Surg Oncol 1999;6:664–70.

    Article  CAS  PubMed  Google Scholar 

  20. Green PH, O'Toole KM, Slonim D, Wang T, Weg A. Increasing incidence and excellent survival of patients with early gastric cancer: experience in a United States medical center. Am J Med 1988;85:658–61.

    Article  CAS  PubMed  Google Scholar 

  21. Onitsuka A, Katagiri Y, Miyauchi T, Yasunaga H, Mimoto H, Ozeki Y. Minilaparotomy for early gastric cancer. Hepatogastroenterology. 2003;50:883–5.

    PubMed  Google Scholar 

Download references

Acknowledgments

The authors gratefully acknowledge the help of Hoon Hur, MD for making the study design.

Conflict of Interest Statement

No actual or potential conflicts of interest on behalf of the authors of this paper do exist.

Author information

Authors and Affiliations

  1. Department of Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 505, Banpo-dong, Seocho-gu, 137-701, South Seoul, Korea

    Hun Jung, Hae Myung Jeon, Han Hong Lee, Kyo Young Song & Cho Hyun Park

Authors
  1. Hun Jung
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hae Myung Jeon
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Han Hong Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kyo Young Song
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Cho Hyun Park
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hae Myung Jeon.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s11605-010-1289-5

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jung, H., Jeon, H.M., Lee, H.H. et al. The Long-Term Results of Distal Gastrectomy by Mini-laparotomy in Early Gastric Cancer Patients. J Gastrointest Surg 14, 1917–1922 (2010). https://doi.org/10.1007/s11605-010-1278-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-010-1278-8

Keywords

Search

Navigation