Comparison of open and laparoscopic gastrectomy for gastric cancer: a low volume center experience

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dc.authoridTURGUT, Hamdi Taner/0000-0001-8142-2093
dc.authoridcoşkun, murat/0000-0002-6361-913X
dc.authoridyuksel, adem/0000-0002-7486-9484
dc.authoridYuksel, Adem/0000-0002-7486-9484
dc.authorwosidTURGUT, Hamdi Taner/JAD-0424-2023
dc.authorwosidcoşkun, murat/JWP-5358-2024
dc.authorwosidyuksel, adem/AAI-8139-2020
dc.authorwosidYuksel, Adem/GXN-3128-2022
dc.contributor.authorYuksel, Adem
dc.contributor.authorCoskun, Murat
dc.contributor.authorTurgut, Hamdi Taner
dc.contributor.authorSumer, Fatih
dc.date.accessioned2024-08-04T20:10:08Z
dc.date.available2024-08-04T20:10:08Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: In gastric cancer, laparoscopic gastrectomy is commonly performed in Asian countries. In other regions where tumor incidence is relatively low and patient characteristics are different, developments in this issue have been limited. In this study, we aimed to compare the early results for patients who underwent open or laparoscopic gastrectomy for gastric cancer in a low volume center. Material and Methods: We retrospectively analyzed the data of patients who underwent curative gastric resection (open gastrectomy n: 30; laparoscopic gastrectomy n: 30) by the same surgical team between 2014 and 2019. Results: The tumor was localized in 60% (36/60) of the patients in the proximal and middle 1/3 stomach. In laparoscopic gastrectomy group, the operation time was significantly longer (median, 297.5 vs 180 minutes; p<0.05). In open gastrectomy group, intraoperative blood loss (median 50 vs 150 ml; p<0.05) was significantly higher. Tumor negative surgical margin was achieved in all cases. Although the mean number of lymph nodes harvested in laparoscopic gastrectomy group was higher than the open surgery group, the difference was not statistically significant (28.2 +/- 11.48 vs 25.8 +/- 9.78, respectively; p=0.394). The rate of major complications (Clavien-Dindo >= grade 3) was less common in the laparoscopic group (6.7% vs 16.7%; p=0.642). Mortality was observed in four patients (2 patients open, 2 patients laparoscopic). Conclusion: In low-volume centers with advanced laparoscopic surgery experience, laparoscopic gastrectomy for gastric cancer can be performed with the risk of morbidity-mortality similar to open gastrectomy.en_US
dc.identifier.doi10.47717/turkjsurg.2021.5048
dc.identifier.endpage40en_US
dc.identifier.issn2564-6850
dc.identifier.issn2564-7032
dc.identifier.issue1en_US
dc.identifier.pmid34585092en_US
dc.identifier.scopus2-s2.0-85108813635en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage33en_US
dc.identifier.trdizinid503802en_US
dc.identifier.urihttps://doi.org/10.47717/turkjsurg.2021.5048
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/503802
dc.identifier.urihttps://hdl.handle.net/11616/92597
dc.identifier.volume37en_US
dc.identifier.wosWOS:000644916100008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Surgical Assocen_US
dc.relation.ispartofTurkish Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGastric canceren_US
dc.subjectlaparoscopic gastrectomyen_US
dc.subjectopen gastrectomyen_US
dc.subjectcomplicationen_US
dc.titleComparison of open and laparoscopic gastrectomy for gastric cancer: a low volume center experienceen_US
dc.typeArticleen_US

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