Laparoscopic D2 Gastrectomy for Gastric Cancer: Mid-Term Results and Current Evidence

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDIAS, Andre Roncon
dc.contributor.authorJACOB, Carlos Eduardo
dc.contributor.authorRAMOS, Marcus Fernando Kodama Pertille
dc.contributor.authorPEREIRA, Marina Alessandra
dc.contributor.authorSZOR, Daniel Jose
dc.contributor.authorYAGI, Osmar Kenji
dc.contributor.authorBARCHI, Leandro Cardoso
dc.contributor.authorRIBEIRO JR., Ulysses
dc.contributor.authorZILBERSTEIN, Bruno
dc.contributor.authorCECCONELLO, Ivan
dc.date.accessioned2019-05-30T13:34:53Z
dc.date.available2019-05-30T13:34:53Z
dc.date.issued2019
dc.description.abstractIntroduction: Although the first laparoscopic gastrectomy was performed in 1991, there was a long delay until it was incorporated into the regular practice of western surgeons. In Brazil, there are only few case series reported and data on its safety and efficacy along with mid- and long-term results are desired. Objective: Present the mid-term results of laparoscopic gastrectomy with curative intent in the treatment of gastric adenocarcinoma and review the current evidence on the therapy of this neoplasia with the laparoscopic access. Methods: Patients who underwent D2 laparoscopic gastrectomy for gastric adenocarcinoma were retrospectively reviewed. Results: Sixty-nine patients met the inclusion criteria. The mean age was 59.2 years and the mean body mass index was 24.2 kg/m(2). Subtotal gastrectomy was performed in 73.9%. The mean number of harvested lymph nodes was 36.7, increased lymph node count and shorter operative time were observed in the last 34 cases. Median hospital stay was 8 days. Postoperative complications occurred in 22 (31.9%) cases. Surgical mortality was 4.3%. Conclusion: Laparoscopic gastrectomy can be performed safely with excellent short- and mid-term results. As experience increases, surgical duration is reduced and lymph node count rises.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, v.29, n.4, p.495-502, 2019
dc.identifier.doi10.1089/lap.2018.0474
dc.identifier.eissn1557-9034
dc.identifier.issn1092-6429
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/31700
dc.language.isoeng
dc.publisherMARY ANN LIEBERT, INCeng
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniques
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright MARY ANN LIEBERT, INCeng
dc.subjectgastric adenocarcinomaeng
dc.subjectlaparoscopyeng
dc.subjectlymphadenectomyeng
dc.subjectcomplicationseng
dc.subjectsurvival.eng
dc.subject.otheropen distal gastrectomyeng
dc.subject.otherminimally invasive surgeryeng
dc.subject.othersubtotal gastrectomyeng
dc.subject.othercarnoys solutioneng
dc.subject.otherlearning-curveeng
dc.subject.otherterm outcomeseng
dc.subject.otherphase-iiieng
dc.subject.otheradenocarcinomaeng
dc.subject.otherreconstructioneng
dc.subject.otherdissectioneng
dc.subject.wosSurgeryeng
dc.titleLaparoscopic D2 Gastrectomy for Gastric Cancer: Mid-Term Results and Current Evidenceeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus5
hcfmusp.contributor.author-fmusphcANDRE RONCON DIAS
hcfmusp.contributor.author-fmusphcCARLOS EDUARDO JACOB
hcfmusp.contributor.author-fmusphcMARCUS FERNANDO KODAMA PERTILLE RAMOS
hcfmusp.contributor.author-fmusphcMARINA ALESSANDRA PEREIRA
hcfmusp.contributor.author-fmusphcDANIEL JOSE SZOR
hcfmusp.contributor.author-fmusphcOSMAR KENJI YAGI
hcfmusp.contributor.author-fmusphcLEANDRO CARDOSO BARCHI
hcfmusp.contributor.author-fmusphcULYSSES RIBEIRO JUNIOR
hcfmusp.contributor.author-fmusphcBRUNO ZILBERSTEIN
hcfmusp.contributor.author-fmusphcIVAN CECCONELLO
hcfmusp.description.beginpage495
hcfmusp.description.endpage502
hcfmusp.description.issue4
hcfmusp.description.volume29
hcfmusp.origemWOS
hcfmusp.origem.pubmed30526290
hcfmusp.origem.scopus2-s2.0-85064272147
hcfmusp.origem.wosWOS:000452717900001
hcfmusp.publisher.cityNEW ROCHELLEeng
hcfmusp.publisher.countryUSAeng
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