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Totally laparoscopic versus laparoscopic-assisted total gastrectomy for upper and middle gastric cancer: a single-unit experience of 253 cases with meta-analysis

Overview of attention for article published in World Journal of Surgical Oncology, March 2016
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Title
Totally laparoscopic versus laparoscopic-assisted total gastrectomy for upper and middle gastric cancer: a single-unit experience of 253 cases with meta-analysis
Published in
World Journal of Surgical Oncology, March 2016
DOI 10.1186/s12957-016-0860-2
Pubmed ID
Authors

Ke Chen, Yu Pan, Jia-Qin Cai, Di Wu, Jia-Fei Yan, Ding-Wei Chen, Hong-Mei Yu, Xian-Fa Wang

Abstract

Laparoscopic-assisted total gastrectomy (LATG) is the most commonly used methods of laparoscopic gastrectomy for upper and middle gastric cancer. However, totally laparoscopic total gastrectomy (TLTG) is unpopular because reconstruction is difficult, especially for the intracorporeal esophagojejunostomy. We adopted TLTG with various types of intracorporeal esophagojejunostomy. In this study, we compared LATG and TLTG to evaluate their outcomes. From March 2006 to September 2015, 253 patients with upper and middle gastric cancer underwent laparoscopic total gastrectomy (LTG), 145 patients underwent LATG, and 108 patients underwent TLTG. The clinicopathological characteristics and postoperative outcomes were retrospectively compared between the two groups. Furthermore, a systematic review and meta-analysis were conducted. The operation time and estimated blood loss were similar between the groups. There were no significant differences in first flatus, diet initiation, and postoperative hospital stay. The surgical complication rates were 17.2 % (25/145) and 13.9 % (15/108) in the LATG and TLTG groups, respectively. The meta-analysis also revealed no significant differences in the operation time, estimated blood loss, time to first flatus, length of hospital stay, overall, and anastomosis-related complications among the groups. TLTG is a feasible choice for gastric cancer patients, with comparable results to the LATG approach.

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Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 30 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 10%
Researcher 3 10%
Student > Postgraduate 3 10%
Professor > Associate Professor 3 10%
Student > Ph. D. Student 3 10%
Other 4 13%
Unknown 11 37%
Readers by discipline Count As %
Medicine and Dentistry 14 47%
Unspecified 2 7%
Nursing and Health Professions 1 3%
Materials Science 1 3%
Social Sciences 1 3%
Other 0 0%
Unknown 11 37%