Comparison between total laparoscopy and laparoscopy-assisted distal gastrectomy for gastric cancer. A meta-analysis based on Japanese and Korean articles

Authors

• Shuo-Meng Xiao, Department of Gastro-Hepatic Surgery, Sichuan Cancer Hospital, Chengdu, China. E-mail. xiaoshumeng2010{at}163.com
• Xiao-Jin Gao, Department of Gastro-Hepatic Surgery, Sichuan Cancer Hospital, Chengdu, China. E-mail. xiaoshumeng2010{at}163.com
• Ping Zhao, Department of Gastro-Hepatic Surgery, Sichuan Cancer Hospital, Chengdu, China. E-mail. xiaoshumeng2010{at}163.com

Abstract

OBJECTIVES: To assess the safety and feasibility of total laparoscopy distal gastrectomy (TLDG). METHODS: This meta-analysis was conducted between April and July 2013 in Sichuan Cancer Hospital, Chengdu, China. We searched PubMed, EMBASE and China Knowledge Resource Integrated Database updated until May 2013. Eight retrospective studies and one prospective study involving 2,046 total patients were included. RESULTS: The results showed that TLDG was associated with lower blood loss (mean difference=-22.39, p=0.04). and a greater number of harvested lymph nodes (mean difference=2.74, p=0.02). There was no significant difference between the 2 groups in operation time, time to first flatus, length of postoperative hospital stay, and postoperative complications. CONCLUSION: Compared with laparoscopy-assisted distal gastrectomy, TLDG resulted in reduced blood loss, and a greater number of harvested lymph nodes. Total laparoscopy distal gastrectomy is safe and feasible for gastric cancer.

Article Type

Research Article

First Page

1318

Last Page

1323

Recommended Citation

Xiao, Shuo-Meng; Gao, Xiao-Jin; and Zhao, Ping (2014) "Comparison between total laparoscopy and laparoscopy-assisted distal gastrectomy for gastric cancer. A meta-analysis based on Japanese and Korean articles," Saudi Medical Journal: Vol. 35: Iss. 11, Article 2.
DOI: https://doi.org/10.15537/1658-3175.6073