Copyright
©The Author(s) 2022.
World J Gastrointest Surg. Sep 27, 2022; 14(9): 950-962
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.950
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.950
Variable | LAG group (n = 232) | TLG group (n = 230) | P value |
Surgical time, min | 221.34 ± 54.96 | 216.48 ± 52.53 | 0.332 |
Blood loss, ml (median, IQR) | 100.0 (50.0-200.0) | 100.0 (50.0-100.0) | 0.000 |
Anastomotic approach | |||
B1 | 17 | 14 | |
B2 (+Braun) | 39 | 36 | |
Roux-en-Y | 176 | 180 | |
Retrieved lymph nodes, n | 29.32 ± 11.27 | 30.69 ± 12.65 | 0.218 |
Extent of resection | |||
R0 | 218 | 215 | |
R1/R2 | 14 | 15 | |
Time to first flatus, d | 4.43 ± 1.20 | 3.79 ± 1.15 | 0.000 |
Postoperative day, d (median, IQR) | 8.0 (7.0-10.0) | 7.75 (6.0-9.0) | 0.000 |
Total complication rate (%) | 61 (26.3) | 38 (16.5) | 0.010 |
Anastomotic-related complication rate (%) | 8 (3.4) | 6 (2.6) | 0.599 |
Clavien-Dindo classification | |||
Grade II | |||
Deep venous thrombosis | 1 | 1 | |
Lymphatic leakage | 1 | 0 | |
Gastroplegia | 1 | 2 | |
Anaphylaxis | 1 | 1 | |
Ileus | 0 | 1 | |
Cardiac failure | 1 | 0 | |
Hypoproteinemia | 10 | 7 | |
Anemia | 12 | 7 | |
Cholecystitis | 2 | 0 | |
Incision infection | 2 | 1 | |
Atrial fibrillation | 4 | 2 | |
Pneumonia | 8 | 2 | |
Anastomotic leakage | 5 | 2 | |
Anastomotic bleeding | 0 | 2 | |
Anastomotic stenosis | 1 | 0 | |
Duodenal trump leakage | 2 | 1 | |
Grade IIIa | |||
Deep venous thrombosis | 0 | 0 | |
Pleural effusion | 4 | 3 | |
Anastomotic leakage | 2 | 2 | |
Duodenal trump leakage | 1 | 1 | |
Abdominal bleeding | 0 | 1 | |
Grade IV | |||
Cardiac failure | 2 | 0 | |
Abdominal bleeding | 1 | 1 | |
Acute cerebral infarction | 0 | 1 | |
Severe complication rate (%) | 10 (4.3) | 9 (3.9) | 0.830 |
- Citation: Zhao RY, Li HH, Zhang KC, Cui H, Deng H, Gao JW, Wei B. Comparison of short-term efficacy between totally laparoscopic gastrectomy and laparoscopic assisted gastrectomy for elderly patients with gastric cancer. World J Gastrointest Surg 2022; 14(9): 950-962
- URL: https://www.wjgnet.com/1948-9366/full/v14/i9/950.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v14.i9.950