Recent Status of Laparoscopic Distal Gastrectomy in Korea: A Multicenter Retrospective Cohort Study (Pre-study Survey of KLASS-07 Trial)
- Authors
- Choi, Chang In; Lee, Chang Min; Park, Ji Ho; Jee, Ye Seob; Lee, Han Hong; Jeong, Oh; Park, Sungsoo
- Issue Date
- 3-10월-2019
- Publisher
- FRONTIERS MEDIA SA
- Keywords
- gastric cancer; gastrectomy; laparoscopic surgery; baseline survey; multicenter study
- Citation
- FRONTIERS IN ONCOLOGY, v.9
- Indexed
- SCIE
SCOPUS
- Journal Title
- FRONTIERS IN ONCOLOGY
- Volume
- 9
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/62546
- DOI
- 10.3389/fonc.2019.00982
- ISSN
- 2234-943X
- Abstract
- Purpose: To analyze the surgical trend and brief postoperative results of laparoscopic distal gastrectomy (LDG) in Korea on the basis of a multicenter cohort. Materials and Methods: Data of 812 patients who underwent LDG between January and December 2016 were collected from 14 surgeons at 7 institutions. Patients were divided into laparoscopy-assisted distal gastrectomy (LADG) group and totally laparoscopic distal gastrectomy (TLDG) group. Perioperative and clinicopathologic outcomes were compared retrospectively. Results: Among the patients [n = 222 (27.3%) LADG; n = 590 (72.7%) TLDG], there are no significant differences in patient's demographics (sex, age, body mass index, and American Society of Anesthesiologists score). Billroth-I anastomosis (84.7%) was most performed in the LADG group, but Billroth-II anastomosis (59.0%) in the TLDG group (p < 0.001). The mean operative time was longer in the TLDG group (197.3 +/- 44.4min vs. 222.0 +/- 60.2min, p < 0.001), and there was no statistical difference in the hospital stay between the two groups (9.6 +/- 4.8 days vs. 8.9 +/- 7.1 days, p = 0.149). There were no significant differences in morbidity and mortality between the two groups. The length of proximal margin was longer in the TLDG group (4.3 +/- 3.1 cm vs. 6.0 +/- 3.4 cm, p < 0.001), but the distal margin was longer in the LADG group (6.5 +/- 3.7 cm vs. 5.5 +/- 3.1 cm, p < 0.001). The distribution of operations among each institution was shown very heterogeneously. Conclusion: There was no significant difference related to surgical outcome between LADG and TLDG in pre-study survey prior to KLASS-07 trial. Therefore, to obtain more reliable data, well designed prospective randomized controlled study is needed.
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