Title | Comparison of the short-term outcomes of laparoscopic and open total or proximal gastrectomy using the transorally inserted anvil (OrVil (TM)) for the proximal reconstruction: a propensity score matching analysis |
Authors | Hong, Fanling Wang, Yinkui Zhang, Yan Li, Shuangxi Shan, Fei Jia, Yongning Li, Ziyu Ji, Jiafu |
Affiliation | Peking Univ, Key Lab Carcinogenesis & Translat, Gastrointestinal Canc Ctr, Canc Hosp & Inst,Minist Educ Beijing, 52 Fucheng Rd, Beijing 100142, Peoples R China |
Issue Date | Feb-2021 |
Publisher | LANGENBECKS ARCHIVES OF SURGERY |
Abstract | Purpose: To compare the short-term surgical outcomes of laparoscopic and open total/proximal gastrectomy using transorally inserted anvil (OrVil (TM)). Method: Patients diagnosed with gastric cancer and underwent total or proximal gastrectomy using OrVil (TM) for reconstruction were included. Clinical and pathological characteristics, as well as postoperative outcomes, were analyzed. Propensity score matching was used to balance baseline factors. Results: From April 2012 to April 2020, 199 patients at our center were included. A total of 166 underwent open total or proximal gastrectomy (OTG/OPG), and 33 underwent laparoscopic total or proximal gastrectomy (LTG/LPG). Twenty-seven patients from each group were paired with propensity score matching. The operation time was significantly shorter in the OTG/OPG group after matching. The overall complication rate and the incidence of each complication did not show significant differences between the two groups before and after matching. Conclusion: LTG/LPG and OTG/OPG using OrVil (TM) for the alimentary tract reconstruction are both feasible and can achieve similar short-term outcomes. |
URI | http://hdl.handle.net/20.500.11897/608640 |
ISSN | 1435-2443 |
DOI | 10.1007/s00423-021-02126-8 |
Indexed | SCI(E) |
Appears in Collections: | 北京肿瘤医院 |