Laparoscopy-assisted gastrectomy remains safe and feasible for gastric cancer patients with a history of upper abdominal surgery

doi:10.3748/wjg.v32.i23.118489

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. Jun 21, 2026; 32(23): 118489
Published online Jun 21, 2026. doi: 10.3748/wjg.v32.i23.118489

Table 2 Details of previous surgical procedures, n (%)

Characteristics	Overall cohort (unadjust)			PSM cohort			IPTW cohort
Characteristics	Laparoscopic (n = 83)	Open (n = 96)	P value	Laparoscopic (n = 74)	Open (n = 74)	P value	Laparoscopic (n = 70.35)	Open (n = 86.23)	P value
Previous surgical approach			1.000	-	-	1.000	-	-	0.733
Laparoscopic	43 (51.8)	49 (51.0)		37 (50.0)	37 (50.0)		33.89 (48.2)	43.84 (50.9)
Open	40 (48.2)	47 (49.0)		37 (50.0)	37 (50.0)		36.46 (51.8)	42.38 (49.2)
Previous surgical procedures			0.816	-		0.744	-		0.698
Abdominal lesion resection¹	3 (3.61)	5 (5.21)	-	3 (4.05)	4 (5.41)	-	2.26 (3.21)	3.94 (4.57)
Cholecystectomy alone	23 (27.7)	20 (20.8)	-	19 (25.7)	15 (20.3)	-	20.53 (29.2)	17.73 (20.6)
Cholecystectomy and billary tract exploration	10 (12.0)	10 (10.4)	-	9 (12.2)	9 (12.2)	-	9.10 (12.9)	10.67 (12.4)
Colectomy	0 (0.00)	2 (2.08)	-	0 (0.00)	2 (2.70)	-	0.00 (0.00)	2.35 (2.73)
Distal pancreatectomy	3 (3.61)	4 (4.17)	-	1 (1.35)	4 (5.41)	-	2.03 (2.88)	3.80 (4.40)
Gastric lesion resection	9 (10.8)	12 (12.5)	-	8 (10.8)	10 (13.5)	-	7.62 (10.8)	10.85 (12.6)
Liver lesion resection	7 (8.43)	10 (10.4)	-	7 (9.46)	7 (9.46)	-	6.01 (8.55)	8.10 (9.39)
Repair of gastroduodenal perforation	14 (16.9)	10 (10.4)	-	13 (17.6)	7 (9.46)	-	11.69 (16.6)	9.07 (10.5)
Small intestine lesion resection	9 (10.8)	14 (14.6)	-	9 (12.2)	10 (13.5)	-	7.73 (11.0)	12.20 (14.2)
Splenectomy alone	5 (6.02)	9 (9.38)	-	5 (6.76)	6 (8.11)	-	3.37 (4.80)	7.51 (8.71)

¹Abdominal lesions were undiagnosed abdominal masses of unknown origin such as fibromatosis, liposarcoma, neurinoma, and tuberculosis of the abdominal cavity.

PSM: Propensity score matching; IPTW: Inverse probability of treatment weighting.

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Citation: Wang P, Song YJ, Liu X, Jiang YJ, He Y, Song YB. Laparoscopy-assisted gastrectomy remains safe and feasible for gastric cancer patients with a history of upper abdominal surgery. World J Gastroenterol 2026; 32(23): 118489
URL: https://www.wjgnet.com/1007-9327/full/v32/i23/118489.htm
DOI: https://dx.doi.org/10.3748/wjg.v32.i23.118489

Wang P, Song YJ, Liu X, Jiang YJ, He Y, Song YB. Laparoscopy-assisted gastrectomy remains safe and feasible for gastric cancer patients with a history of upper abdominal surgery. World J Gastroenterol 2026; 32(23): 118489 [DOI: 10.3748/wjg.v32.i23.118489]

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