Clinical comparison of laparoscopic vs open distal gastrectomy for advanced gastric cancer: Perioperative safety, recovery, and survival

doi:10.4240/wjgs.v18.i5.117809

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World Journal of Gastrointestinal Surgery

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1948-9366

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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 Gastrointest Surg. May 27, 2026; 18(5): 117809
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.117809

Table 2 Perioperative outcomes, n (%)/mean ± SD

Parameters	Laparoscopy (n = 213)	Open surgery (n = 207)	t/χ²	P value
Incision length (cm)	4.51 ± 0.52	17.64 ± 3.25	57.358	< 0.001
Operation time (minutes)	227.01 ± 54.08	164.41 ± 45.89	12.803	< 0.001
Blood loss (mL)	152.44 ± 26.55	220.07 ± 21.58	28.680	< 0.001
Extent of resection			0.066	0.797
Distal gastrectomy	207 (97.18)	202 (97.58)
Total gastrectomy	6 (2.82)	5 (2.42)
Extent of lymphadenectomy			None	0.493
< D2	0 (0.00)	1 (0.48)
D2	213 (100.00)	206 (99.52)
Proximal resection margin (cm)	5.27 ± 1.76	5.05 ± 1.63	1.320	0.188
R0 resection	206 (96.71)	196 (94.69)	1.052	0.305
Anastomosis			0.687	0.709
Billroth I	76 (35.68)	66 (31.88)
Billroth II	115 (53.99)	119 (57.49)
Roux-en-Y	22 (10.33)	22 (10.63)

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Citation: Pan CP, Zhang CH, Wang SL, Ni XC, Wang HB, Yu JW. Clinical comparison of laparoscopic vs open distal gastrectomy for advanced gastric cancer: Perioperative safety, recovery, and survival. World J Gastrointest Surg 2026; 18(5): 117809
URL: https://www.wjgnet.com/1948-9366/full/v18/i5/117809.htm
DOI: https://dx.doi.org/10.4240/wjgs.v18.i5.117809

Pan CP, Zhang CH, Wang SL, Ni XC, Wang HB, Yu JW. Clinical comparison of laparoscopic vs open distal gastrectomy for advanced gastric cancer: Perioperative safety, recovery, and survival. World J Gastrointest Surg 2026; 18(5): 117809 [DOI: 10.4240/wjgs.v18.i5.117809]

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