Surgical outcomes and long-term survival of laparoscopic distal gastrectomy at high-volume centers in Korea and China: a two-centered retrospective analysis.

IF 1.7 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2025-01-01 Epub Date: 2024-11-19 DOI:10.1007/s00595-024-02931-w

Sen Wang, Ji-Hyeon Park, Qingya Li, Yikai Shen, Jee-Sun Kim, Do-Joong Park, Seong-Ho Kong, Haisheng Fang, Hye-Seung Lee, Linjun Wang, Diancai Zhang, Hao Xu, Hyuk-Joon Lee, Zekuan Xu, Han-Kwang Yang

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引用次数: 0

Abstract

Purpose: Laparoscopic distal gastrectomy is now widely used in East Asia and worldwide with different preferences and outcomes. This study aimed to compare the short- and long-term outcomes and preferences between two high-volume gastric cancer centers in Korea and China.

Methods: Patients who underwent laparoscopic-assisted distal gastrectomy (LADG) and totally laparoscopic distal gastrectomy (TLDG) for gastric cancer from Seoul National University Hospital (SNUH) and the First Affiliated Hospital of Nanjing Medical University (NMUH) from 2017 to 2020 were enrolled in this study.

Results: A total of 1166 SNUH cases and 847 NMUH cases enrolled in this study. The overall complication rate of SNUH (14.49%) did not differ from that of NMUH after LADG or TLDG (12.28%). The anastomosis-related complications rate (2.74%) did not show a significant difference with that of NMUH (2.01%) either. The median postoperative hospital stay for SNUH (7,(7,10)) was shorter than that for NMUH (8,(7,9)). The 5-year overall survival (OS) rate of SNUH was not significantly different from that of NMUH.

Conclusion: There was no significant difference in the overall complication rate, anastomosis-related complication rate, resected lymph nodes, and 5- year overall survival rate between SNUH and NMUH except for the postoperative stay. Both the LADG and TLDG achieved satisfactory short- and long-term outcomes when performed by surgeons with adequate experience.

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韩国和中国大容量中心腹腔镜远端胃切除术的手术效果和长期生存率：双中心回顾性分析。

目的：腹腔镜远端胃切除术目前已在东亚和全球广泛使用，但有不同的偏好和结果。本研究旨在比较韩国和中国两家大型胃癌中心的短期和长期疗效及偏好：本研究招募了2017年至2020年在首尔国立大学医院（SNUH）和南京医科大学第一附属医院（NMUH）接受腹腔镜辅助远端胃切除术（LADG）和全腹腔镜远端胃切除术（TLDG）治疗胃癌的患者：本研究共纳入1166例首尔大学医院病例和847例南京医科大学第一附属医院病例。SNUH的总并发症发生率（14.49%）与LADG或TLDG术后NMUH的总并发症发生率（12.28%）无差异。吻合相关并发症发生率（2.74%）与 NMUH（2.01%）也无明显差异。SNUH的术后中位住院时间（7,(7,10)）短于NMUH（8,(7,9)）。SNUH的5年总生存率（OS）与NMUH无显著差异：结论：除术后住院时间外，SNUH 和 NMUH 在总并发症发生率、吻合相关并发症发生率、切除淋巴结以及 5 年总生存率方面均无明显差异。如果由经验丰富的外科医生实施，LADG 和 TLDG 都能获得令人满意的短期和长期疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.