Annals of Surgical Oncology, volume 27, issue 2, pages 518-526
Short-Term Outcomes of Laparoscopic and Open Total Gastrectomy for Gastric Cancer: A Nationwide Retrospective Cohort Analysis
Sakamoto Takashi
1, 2
,
Fujiogi Michimasa
1
,
Matsui Hiroki
1
,
Fushimi Kiyohide
3
,
Yasunaga Hideo
1
1
Department of Clinical Epidemiology and Health Economics, School of Public Health, the University of Tokyo, Tokyo, Japan
|
2
Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan
|
Publication type: Journal Article
Publication date: 2019-08-12
Journal:
Annals of Surgical Oncology
Quartile SCImago
Q1
Quartile WOS
Q1
Impact factor: 3.7
ISSN: 10689265, 15344681
Oncology
Surgery
Abstract
Laparoscopic total gastrectomy is gradually gaining popularity; however, previous studies have produced conflicting results regarding the safety and advantages of the procedure, partly because of small sample sizes. The purpose of this study was to compare short-term outcomes between laparoscopic and open total gastrectomy for gastric cancer. We analyzed data for patients undergoing laparoscopic or open total gastrectomy for clinical stage I–III gastric cancer from July 2010 to March 2017, using a Japanese nationwide inpatient database. We performed propensity-matched analyses to compare in-hospital mortality, morbidity, duration of anesthesia, time to first oral intake, and length of postoperative stay between the two groups. Among 58,689 eligible patients, propensity-score matching created 12,229 pairs. Laparoscopic total gastrectomy was associated with higher incidences of anastomotic leakage (2.9% vs. 1.7%, p < 0.001) and stenosis (0.9% vs. 0.6%, p = 0.02), lower incidences of pancreatic injury (1.4% vs. 1.8%, p = 0.01), endoscopic hemostasis (0.9% vs. 1.7%, p < 0.001), blood transfusion (9.9% vs. 17.7%, p < 0.001) and 30-day readmission, a shorter interval from surgery to first oral intake (4 vs. 5 days, p < 0.001), shorter postoperative hospital stay (14 vs. 15 days, p < 0.001), and a longer duration of anesthesia (323 vs. 304 min, p < 0.001). There was no significant difference in in-hospital mortality (0.6% vs. 0.8%, p = 0.58). Laparoscopic total gastrectomy has some advantages over open surgery for gastric cancer in terms of time to first oral intake and postoperative length of stay, but the incidence of anastomotic leakage was higher than that of open total gastrectomy.
Citations by journals
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European Journal of Surgical Oncology
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European Journal of Surgical Oncology
2 publications, 10%
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Journal of Clinical Medicine
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Journal of Clinical Medicine
1 publication, 5%
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Frontiers in Oncology
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Frontiers in Oncology
1 publication, 5%
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Journal of Cancer Research and Clinical Oncology
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Journal of Cancer Research and Clinical Oncology
1 publication, 5%
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Scientific Reports
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Scientific Reports
1 publication, 5%
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Annals of Surgical Oncology
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Annals of Surgical Oncology
1 publication, 5%
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BMC Surgery
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BMC Surgery
1 publication, 5%
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Surgical Endoscopy and Other Interventional Techniques
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Surgical Endoscopy and Other Interventional Techniques
1 publication, 5%
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Chirurg
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Chirurg
1 publication, 5%
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Surgery
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Surgery
1 publication, 5%
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Journal of Plastic Surgery and Hand Surgery
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Journal of Plastic Surgery and Hand Surgery
1 publication, 5%
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Cancer Management and Research
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Cancer Management and Research
1 publication, 5%
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Journal of Gastric Cancer
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Journal of Gastric Cancer, 1, 5%
Journal of Gastric Cancer
1 publication, 5%
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Endoscopic Surgery (Endoskopicheskaya khirurgiya)
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Endoscopic Surgery (Endoskopicheskaya khirurgiya)
1 publication, 5%
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Journal of Robotic Surgery
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Journal of Robotic Surgery
1 publication, 5%
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Journal of Pediatric Surgery
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Journal of Pediatric Surgery
1 publication, 5%
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Zentralblatt fur Chirurgie
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Zentralblatt fur Chirurgie
1 publication, 5%
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2
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Citations by publishers
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7
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Springer Nature
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Springer Nature
7 publications, 35%
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Elsevier
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Elsevier
4 publications, 20%
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Multidisciplinary Digital Publishing Institute (MDPI)
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Multidisciplinary Digital Publishing Institute (MDPI)
1 publication, 5%
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Frontiers Media S.A.
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Frontiers Media S.A.
1 publication, 5%
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Taylor & Francis
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Taylor & Francis
1 publication, 5%
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Dove Medical Press
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Dove Medical Press
1 publication, 5%
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Korean Gastric Cancer Association
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Korean Gastric Cancer Association, 1, 5%
Korean Gastric Cancer Association
1 publication, 5%
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Media Sphere Publishing Group
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Media Sphere Publishing Group
1 publication, 5%
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Thieme
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Thieme
1 publication, 5%
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1
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- We do not take into account publications that without a DOI.
- Statistics recalculated only for publications connected to researchers, organizations and labs registered on the platform.
- Statistics recalculated weekly.
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Sakamoto T. et al. Short-Term Outcomes of Laparoscopic and Open Total Gastrectomy for Gastric Cancer: A Nationwide Retrospective Cohort Analysis // Annals of Surgical Oncology. 2019. Vol. 27. No. 2. pp. 518-526.
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Sakamoto T., Fujiogi M., Matsui H., Fushimi K., Yasunaga H. Short-Term Outcomes of Laparoscopic and Open Total Gastrectomy for Gastric Cancer: A Nationwide Retrospective Cohort Analysis // Annals of Surgical Oncology. 2019. Vol. 27. No. 2. pp. 518-526.
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TY - JOUR
DO - 10.1245/s10434-019-07688-y
UR - https://doi.org/10.1245%2Fs10434-019-07688-y
TI - Short-Term Outcomes of Laparoscopic and Open Total Gastrectomy for Gastric Cancer: A Nationwide Retrospective Cohort Analysis
T2 - Annals of Surgical Oncology
AU - Sakamoto, Takashi
AU - Fujiogi, Michimasa
AU - Matsui, Hiroki
AU - Fushimi, Kiyohide
AU - Yasunaga, Hideo
PY - 2019
DA - 2019/08/12 00:00:00
PB - Springer Nature
SP - 518-526
IS - 2
VL - 27
SN - 1068-9265
SN - 1534-4681
ER -
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@article{2019_Sakamoto,
author = {Takashi Sakamoto and Michimasa Fujiogi and Hiroki Matsui and Kiyohide Fushimi and Hideo Yasunaga},
title = {Short-Term Outcomes of Laparoscopic and Open Total Gastrectomy for Gastric Cancer: A Nationwide Retrospective Cohort Analysis},
journal = {Annals of Surgical Oncology},
year = {2019},
volume = {27},
publisher = {Springer Nature},
month = {aug},
url = {https://doi.org/10.1245%2Fs10434-019-07688-y},
number = {2},
pages = {518--526},
doi = {10.1245/s10434-019-07688-y}
}
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MLA
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Sakamoto, Takashi, et al. “Short-Term Outcomes of Laparoscopic and Open Total Gastrectomy for Gastric Cancer: A Nationwide Retrospective Cohort Analysis.” Annals of Surgical Oncology, vol. 27, no. 2, Aug. 2019, pp. 518-526. https://doi.org/10.1245%2Fs10434-019-07688-y.