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Surgery Today
Published in: Surgery Today 9/2013

01-09-2013 | Original Article

Survival outcome of laparoscopic gastrectomy for clinical early (cT1) gastric cancer

Authors: Keishi Yamashita, Shinichi Sakuramoto, Tomotaka Shibata, Masayuki Nemoto, Hiroaki Mieno, Natsuya Katada, Shiro Kikuchi, Masahiko Watanabe

Published in: Surgery Today | Issue 9/2013

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Abstract

Purposes

Laparoscopy-assisted gastrectomy (LAG) for clinical early (cT1) gastric cancer (EGC) is superior to open gastrectomy in terms of the short-term outcome; however, long-term survival outcome remains elusive.

Methods

Four hundred and ninety-one cT1 EGC patients who underwent LAG between 1998 and 2010 were registered to evaluate the survival outcome, including 237 patients who were observed for at least 5 years (long-term, L group), while 221 patients who were observed for at least 2–5 years (intermediate term, I group).

Results

There were 17 deaths, including 7 patients who developed recurrence (5 in pT1 and 2 in pT4a). Two fatal cases with pStage IIB were uniquely T1N3b. Six out of the 7 recurrences occurred within 2 years after surgery. The 237 patients in the L group included 6 of the recurrent deaths (2.5 %), while the 221 patients in the I group included 1 recurrent death (0.9 %). Recurrent sites of pathological T1 cases were the liver (n = 2), lung (n = 1), ovary (n = 1), and bone (n = 1), and no peritoneal or local recurrence was found.

Conclusions

Collectively, the survival outcome of EGC by LAG was excellent and LAG was acceptable as a therapeutic procedure for EGC.
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Metadata
Title
Survival outcome of laparoscopic gastrectomy for clinical early (cT1) gastric cancer
Authors
Keishi Yamashita
Shinichi Sakuramoto
Tomotaka Shibata
Masayuki Nemoto
Hiroaki Mieno
Natsuya Katada
Shiro Kikuchi
Masahiko Watanabe
Publication date
01-09-2013
Publisher
Springer Japan
Published in
Surgery Today / Issue 9/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-012-0388-1

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