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Surgical Endoscopy

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01-02-2005 | Original article

A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer: early results

Authors: J.- H. Lee, H.- S. Han, J.- H. Lee

Published in: Surgical Endoscopy | Issue 2/2005

Abstract

Background

We conducted a prospective randomized trial to compare laparoscopy-assisted distal gastrectomy (LADG) including lymphadenectomy with open distal gastrectomy for the management of early gastric cancer (EGC).

Methods

Forty-seven patients who had been diagnosed endoscopically with EGC were included in a study that ran from November 2001 to August 2003. With the aid of random number table, 23 patients were assigned to the open group (group O) and 24 patients were assigned to the LADG group (group L).

Results

Estimated blood loss and transfusion amounts were similar in the two groups. The mean postoperative hospital stay and the duration of analgesic administration were shorter for group L but not significantly so. The mean number of harvested lymph nodes was 38.1 in the O group and 31.8 in the L group (p = 0.098). Postoperative pulmonary complications occurred more frequently in the O group (p = 0.043). At a median follow-up of 14 months, there has been no recurrence of disease in either group.

Conclusion

In terms of resulting in fewer pulmonary complications while maintaining the curability of EGC, LADG has a clear advantage over its open counterpart.

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Title: A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer: early results
Authors: J.- H. Lee
H.- S. Han
J.- H. Lee
Publication date: 01-02-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 2/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-8808-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer: early results

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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