Topic Highlight
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Oct 14, 2014; 20(38): 13692-13704
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.13692
Table 1 MEDLINE search terms used per section
SectionMEDLINE search termsLimits
Introduction"Cancer", "Mortality", "Global Burden of Disease", "Cancer statistics", "Gastric cancer", "Disability adjusted life years"Language: English
Time period: 2005-2014
Advances in preoperative care
Risk assessment"Risk assessment", "ASA classification", "peri operative risk", "Charlson Comorbidity Index", "Gastric cancer", "obesity", "complications", "previous abdominal surgery"Language: English
Time period: 2005-2014
Nutritional status"Malnutrition", "screening tool", "Surgery", "Gastric cancer"Language: English
Time period: 2005-2014
Sarcopenia"Gastric cancer", "Sarcopenia", "Surgery"Language: English
Time period: 2005-2014
Frailty"Fraily surgery", "Complications", "Gastric cancer"Language: English
Time period: 2005-2014
Prehabilitation"Prehabilitation", "Cancer"Language: English
Time period: 2005-2014
Staging laparoscopy and was cytology"Gastric cancer", "Staging laparoscopy", "peritoneal cytology", "Hyperthermic Intreperitoneal Chemotherapy"Language: English
Time period: 2005-2014
Advances in intra-operative care
Laparoscopic surgery (introduction)"Gastrectomy", "Gastric cancer", "Laparoscopy"Language: English
Time period: 1990-2000
Laparoscopic surgery"Gastrectomy", "Gastric cancer", "Laparoscopy"Language: English
Time period: 2005-2014
Article type: Review
Lymph node dissection"D2 resection", "Gastric cancer", "Nodal dissection", "Bursectomy"Language: English
Time period: 1995-2014
Article type: Clinical Trial
Reconstruction technique"Distal gastrectomy", "Gastric cancer", "Reconstruction", "Billroth", "Reconstruction"Language: English
Time period: 2005-2014
Intra-operative feeding jejunostomy placement"Gastric cancer", "feeding jejunostomy", "morbidity"Language: English
Time period: 2005-2014
Advances in postoperative care
Detection and treatment of anastomotic leakage"Gastrectomy", "anastomotic leak", "risk factors", "gastric cancer", "covered stent"Language: English
Time period: 2005-2014
ERAS and Fast-track programs"Gastric cancer", "ERAS", "Fast track", "Oral feeding", "Gastrectomy"Language: English
Time period: 2005-2014
Advances in organization of care: centralization and audits"Case load" or "hospital volume", "gastric cancer", "gastrectomy"Language: English
Time period: 2005-2014
Table 2 Malnutrition universal screening tool and short nutritional assessment questionnaire, screening tools for detecting malnutrition
Points
MUST
Step 1 Body mass index
> 200
18.5-201
< 18.52
Step 2 Unintentional weight loss past 3-6 mo
< 5%0
5%-10%1
> 10%2
Step 3 Acute disease effect
If patient is acutely ill and there has been or is likely to be no nutritional intake for > 5 d2
SNAQ
Did you lose weight unintentionally?
More than 6 kg in past 6 mo3
More than 3 kg in past 3 mo2
No0
Did you experience a decreased appetite over the last month?
Yes1
No0
Did you use supplemental drinks or tube feeding over the last month?
Yes1
No0
Table 3 Summary of recently published meta-analysis examining laparoscopic distal gastrectomy vs open distal gastrectomy for gastric cancer
Ref.Trials included (n)Laparoscopic/open procedures (n)TumOR = characteristicsOperative time (min) (WMD)Blood loss (mL) (WMD)Harvested lymph nodes (WMD)Length-of-stay (WMD)Complication ratesMortality
Memon et al[62], 20084 RCT’s82/80EGC, GC+83 (P < 0.001)-104 (P = 0.02)-4.3 (P < 0.001)-3.3 d (P = 0.14)OR = 0.66 (P = 0.14)OR = 0.94 (P = 0.94)
Chen et al[60], 20096 RCT’s323/306EGC+87 (P < 0.001)-108 (P = 0.001)-4.9 (P < 0.001)-2.0 d (P = 0.14)RR = 0.61 (P = 0.01)Risk difference 0.01 (P = 0.32)
Kodera et al[61], 20106 RCT’s343/323EGC, GC+82 (P < 0.001)-118 (P < 0.001)-4.8 (P < 0.001)NAOR = 0.46 (P = 0.003)OR = 0.17 (P = 0.86)
Ohtani et al[63], 20115 RCT’s164/162EGC, GC+82 (P < 0.001)-122 (P < 0.001)-4.8 (P < 0.001)-2.5 d (P = 0.04)OR = 0.38 (P = 0.01)OR = 0.47 (P = 0.54)
Viñuela et al[59], 20126 RCT’s1658/1397ECG, GC+48.3 (P < 0.001)-118 (P < 0.001)-3.9 (P < 0.001)-3.6 (P < 0.001)OR = 0.59 (P < 0.001)OR = 0.64 (P = 0.39)
19 NRCT’s