Gastric Cancer
Conditions
Brief summary
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, the investigators aimed to compare the early results for patients who underwent open or laparoscopic gastrectomy for gastric cancer in a center in Turkey.
Detailed description
The patients who were operated in Kocaeli Derince Training and Research Hospital between January 2014 and January 2019 consecutively due to gastric cancer were analyzed. The diagnosis was made by upper gastrointestinal endoscopy and endoscopic biopsy. Clinical staging was done using contrast computed tomography (CT). Positron emission tomography (PET) was used in patients with suspected metastasis.The patients were divided into two groups according to the technique applied (open, laparotomy). The first group (Group 1; n: 30) consisted of patients who underwent open surgery, and the second group (Group 2, n: 30) laparoscopic surgery.
Interventions
PROCEDUREgastrectomy
gastric resection with lymph node dissection(D1+,D2) for stomach cancer.
Sponsors
Kocaeli Derince Education and Research Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Gastric cancer(adenocarcinoma) proven biopsy * Operated by same surgical team * Presence of distant metastasis
Exclusion criteria
* Patients who underwent palliative resection * operated by a different surgical team * ASA score: 4
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Age | 2014-2019 | year |
| Body mass index | 2014- 2019 | kg/m2 |
| Previous abdominal surgery status | 2014-2019 | yes or no |
| Comorbidity status | 2014 -2019 | present or absent |
| Neoadjuvant therapy status | 2014-2019 | present or absent |
| American Society of Anesthesiologists (ASA) score | 2014-2019 | 1,2,3,4 |
| Gender | 2014-2019 | male or female |
| Surgical technique | 2014-2019 | open or laparoscopic |
| Tumor localization | 2014 - 2019 | proximal, middle, lower |
| Gastrectomy type | 2014 - 2019 | total, subtotal |
| Lymph node dissection type | 2014 - 2019 | D1+, D2 |
| Operation time | 2014 - 2019 | minute |
| Blood loss | 2014 - 2019 | ml |
| Complication (Clavien-Dindo Classification) | 2014 - 2019 | 1,2,3 A,3 B,4 A,4 B,5 (according to Clavien-Dindo Classification) |
| 30-day mortality | 2014 - 2019 | present or absent |
| Number of harvested lymph node | 2014 - 2019 | number |
| Resection margin status | 2014 - 2019 | positive or negative |
| Tumor stage (American Joint Committee on Cancer 8th Edition) | 2014 - 2019 | 0,1,2 A,2 B,3,4 A, 4 B (According to American Joint Committee on Cancer 8th Edition) |
Countries
Turkey (Türkiye)
Outcome results
None listed