Gastric cancer: Perioperative outcomes with laparoscopic vs open surger

July 31, 2022|Hematology and Oncology

Clinical Edge Journal Scan: Gastric Cancer, August 2022 (1 of 11)

Key clinical point: Compared with the open gastrectomy, laparoscopic gastrectomy is associated with less intraoperative blood loss, shorter hospitalization time, and early postoperative exhaust in patients with gastric cancer.

Major finding: Patients in the laparoscopic vs open gastrectomy group had less intraoperative bleeding (standardized mean difference [SMD] −1.11; P = .0006), early postoperative exhaust (SMD −0.45; P = .0004), first postoperative feeding (SMD −0.45; P = .0004), and shorter postoperative hospital stay (SMD −0.97; P = .008), but had a longer operation time (SMD 0.65; P < .00001). There was no significant difference in the number of lymph nodes dissected (P = .45) and the incidence of complications after 30 days of surgery (P = .23) between the 2 groups.

Study details: These results are from a meta-analysis 11 studies including 1027 patients with gastric cancer who underwent laparoscopic or open gastrectomy.

Disclosures: This study was supported by Key Clinical Subject construction Program of Chongqing Medical University, China. The authors declared no conflicts of interest.

Source: Huang K et al. Effects of laparoscopic versus open surgery for advanced gastric cancer after neoadjuvant chemotherapy: A meta-analysis. J Healthc Eng. 2022;3255403 (Jun 18). Doi: 10.1155/2022/3255403