AI Article Synopsis
- The study examined how laparoscopic gastrectomy (LG) influences long-term survival for gastric cancer patients, especially those dealing with postoperative infectious complications (PIC).
- 608 patients were divided into two groups: those who had LG (385 patients) and those who had open gastrectomy (OG: 211 patients), then survival outcomes were compared based on the presence of PIC.
- Results showed that while PIC worsened survival outcomes in OG patients, it did not significantly affect the overall survival in LG patients, indicating that LG might have a better prognosis despite complications.
Article Abstract
Background/aim: The aim of this study was to evaluate the impact of laparoscopic gastrectomy (LG) for gastric cancer on long-term survival in patients with postoperative infectious complications (PIC).
Patients And Methods: A total of 608 patients who underwent gastrectomy were classified into two groups based on the surgical approach: LG (385 patients) and open gastrectomy (OG: 211 patients). Long-term survival after gastrectomy was compared between patients with and without PIC in both LG and OG groups.
Results: Although the patients with PIC in OG group tended to have worse overall survival (OS) than those without PIC, the OS was not significantly different between the patients with and without PIC in LG group. Although multivariate analysis demonstrated that nodal involvement and PIC were significantly associated with OS in OG group, age and tumor depth, and not PIC, were associated with OS in LG group.
Conclusion: PIC were negative predictors of clinical outcomes in patients with gastric cancer, particularly those who underwent OG, and long-term prognosis may be impacted less by PIC in patients undergoing LG.
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| http://dx.doi.org/10.21873/anticanres.14740 | DOI Listing |
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