©The Author(s) 2022.
World J Gastrointest Surg. Sep 27, 2022; 14(9): 950-962
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.950
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.950
Table 2 Perioperative outcomes between laparoscopic assisted gastrectomy and totally laparoscopic gastrectomy group for elderly patients (mean ± SD)
| Variable | LAG group (n = 232) | TLG group (n = 230) | P value |
| Surgical time, min | 221.34 ± 54.96 | 216.48 ± 52.53 | 0.332 |
| Blood loss, ml (median, IQR) | 100.0 (50.0-200.0) | 100.0 (50.0-100.0) | 0.000 |
| Anastomotic approach | |||
| B1 | 17 | 14 | |
| B2 (+Braun) | 39 | 36 | |
| Roux-en-Y | 176 | 180 | |
| Retrieved lymph nodes, n | 29.32 ± 11.27 | 30.69 ± 12.65 | 0.218 |
| Extent of resection | |||
| R0 | 218 | 215 | |
| R1/R2 | 14 | 15 | |
| Time to first flatus, d | 4.43 ± 1.20 | 3.79 ± 1.15 | 0.000 |
| Postoperative day, d (median, IQR) | 8.0 (7.0-10.0) | 7.75 (6.0-9.0) | 0.000 |
| Total complication rate (%) | 61 (26.3) | 38 (16.5) | 0.010 |
| Anastomotic-related complication rate (%) | 8 (3.4) | 6 (2.6) | 0.599 |
| Clavien-Dindo classification | |||
| Grade II | |||
| Deep venous thrombosis | 1 | 1 | |
| Lymphatic leakage | 1 | 0 | |
| Gastroplegia | 1 | 2 | |
| Anaphylaxis | 1 | 1 | |
| Ileus | 0 | 1 | |
| Cardiac failure | 1 | 0 | |
| Hypoproteinemia | 10 | 7 | |
| Anemia | 12 | 7 | |
| Cholecystitis | 2 | 0 | |
| Incision infection | 2 | 1 | |
| Atrial fibrillation | 4 | 2 | |
| Pneumonia | 8 | 2 | |
| Anastomotic leakage | 5 | 2 | |
| Anastomotic bleeding | 0 | 2 | |
| Anastomotic stenosis | 1 | 0 | |
| Duodenal trump leakage | 2 | 1 | |
| Grade IIIa | |||
| Deep venous thrombosis | 0 | 0 | |
| Pleural effusion | 4 | 3 | |
| Anastomotic leakage | 2 | 2 | |
| Duodenal trump leakage | 1 | 1 | |
| Abdominal bleeding | 0 | 1 | |
| Grade IV | |||
| Cardiac failure | 2 | 0 | |
| Abdominal bleeding | 1 | 1 | |
| Acute cerebral infarction | 0 | 1 | |
| Severe complication rate (%) | 10 (4.3) | 9 (3.9) | 0.830 |
- Citation: Zhao RY, Li HH, Zhang KC, Cui H, Deng H, Gao JW, Wei B. Comparison of short-term efficacy between totally laparoscopic gastrectomy and laparoscopic assisted gastrectomy for elderly patients with gastric cancer. World J Gastrointest Surg 2022; 14(9): 950-962
- URL: https://www.wjgnet.com/1948-9366/full/v14/i9/950.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v14.i9.950