Analysis of Laproscopic vs Open Gastrectomy for Patients with Gastric Cancer
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 5
Abstract
Introduction: Gastrectomies are performed to treat stomach cancer and perforations of the stomach wall. In this comparative analysis, we aimed to compare the efficacy of Laproscopic vs Open gastrectomy for patients with Gastric Cancer. Material and methods: Total 320 consecutive patients who undergo Gastrectomy for gastric Adenocarcinoma were identified and their relevant data were gathered from hospitals. After matching, 90 patients (45 each for LG and OG) were selected for comparison. Both groups were compared for operative time, length of hospital stay, complication rate and return to normal activity. Obtained data were compared with cases of LG and OG. Result: It was seen that laparoscopic gastrectomy prompts shorter healing center stay, bring down postoperative grimness, less readmissions, higher postoperative personal satisfaction, and more patients fit for postoperative chemotherapy, with comparative mortality and oncologic results contrasted with the present standard of care, i.e. open gastrectomy. Conclusion: LG had the advantages of less blood misfortune, less postoperative pain, speedier gut work recuperation, shorter doctor's facility stay and lower postoperative grimness, at the cost of longer agent time. There were no measurable contrasts in lymph hub dismemberment, resection edge, healing center mortality, and long haul results, which demonstrated the comparable wellbeing with OG.A positive trend was indicated towards LG. So LG can be performed as an alternative to OG by the experienced surgeons in high-volume centers.
Authors and Affiliations
Ashwani Kumar Pandey, Sanjeev Gupta
Keywords
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