Safety of Laparoscopic Radical Gastrectomy in Gastric Cancer Patients with End-Stage Renal Disease
Journal of Gastric Cancer
;
: 287-295, 2018.
Article
in English
| WPRIM
| ID: wpr-716706
ABSTRACT
PURPOSE:
The surgical outcomes of end-stage renal disease (ESRD) patients undergoing radical gastrectomy for gastric cancer were inferior compared with those of non-ESRD patients. This study aimed to evaluate the short- and long-term surgical outcomes of ESRD patients undergoing laparoscopic gastrectomy (LG) and open gastrectomy (OG) for gastric cancer. MATERIALS ANDMETHODS:
Between 2004 and 2014, 38 patients (OG 21 patients, LG 17 patients) with ESRD underwent gastrectomy for gastric cancer. Comparisons were made based on the clinicopathological characteristics, surgical outcomes, and long-term survival rates.RESULTS:
No significant differences were noted in the clinicopathological characteristics of either group. LG patients had lower estimated blood loss volumes than OG patients (LG vs. OG 94 vs. 275 mL, P=0.005). The operation time and postoperative hospital stay were similar in both the groups. The postoperative morbidity for LG and OG patients was 41.1% and 33.3%, respectively (P=0.873). No significant difference was observed in the long-term overall survival rates between the 2 groups (5-year overall survival, LG vs. OG 82.4% vs. 64.7%, P=0.947).CONCLUSIONS:
In ESRD patients, LG yielded non-inferior short- and long-term surgical outcomes compared to OG. Laparoscopic procedures might be safely adopted for ESRD patients who can benefit from the advantages of minimally invasive surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach Neoplasms
/
Survival Rate
/
Laparoscopy
/
Minimally Invasive Surgical Procedures
/
Renal Insufficiency
/
Gastrectomy
/
Kidney Failure, Chronic
/
Length of Stay
Limits:
Humans
Language:
English
Journal:
Journal of Gastric Cancer
Year:
2018
Type:
Article
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