Copyright: ©Author(s) 2026.
World J Gastrointest Surg. May 27, 2026; 18(5): 117809
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.117809
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.117809
Table 5 Postoperative complications, n (%)
| Parameters | Laparoscopy (n = 213) | Open surgery (n = 207) | χ2/Fisher | P value |
| Surgery related complications | ||||
| Wound complications | 11 (5.16) | 15 (7.25) | 0.784 | 0.376 |
| Intraabdominal fluid collection or abscess | 6 (2.82) | 11 (5.31) | 1.685 | 0.194 |
| Intraabdominal hemorrhage | 1 (0.47) | 4 (1.93) | 0.869 | 0.351 |
| Intraluminal hemorrhage | 1 (0.47) | 1 (0.48) | 0.000 | 1.000 |
| Intestinal obstruction | 7 (3.29) | 15 (7.25) | 3.317 | 0.069 |
| Anastomotic stricture | 0 (0.00) | 1 (0.48) | None | 0.493 |
| Anastomotic leak | 4 (1.88) | 2 (0.97) | 0.141 | 0.707 |
| Pancreatitis/pancreatic fistula | 4 (1.88) | 1 (0.48) | 0.753 | 0.386 |
| Gastrointestinal functional complications | ||||
| Delayed gastric emptying | 1 (0.47) | 2 (0.97) | 0.001 | 0.980 |
| Reflux symptoms | 0 (0.00) | 1 (0.48) | None | 0.493 |
| Postgastrectomy syndrome | 0 (0.11) | 1 (0.48) | None | 0.493 |
| Systemic complications | ||||
| Pulmonary complications | 5 (2.35) | 6 (2.90) | 0.125 | 0.724 |
| Urinary tract complications | 2 (0.94) | 1 (0.48) | 0.000 | 1.000 |
| Renal insufficiency | 1 (0.47) | 0 (0.00) | None | 1.000 |
| Hepatic insufficiency | 1 (0.47) | 2 (0.97) | 0.001 | 0.980 |
| Cardiac complications | 0 (0.00) | 1 (0.48) | None | 0.493 |
| Others | 6 (2.82) | 8 (3.86) | 0.358 | 0.550 |
| Total Clavien-Dindo complication grade of early and late complications | ||||
| I or II | 22 (10.33) | 36 (17.39) | 4.399 | 0.036 |
| ≥ III | 17 (7.98) | 24 (11.59) | 1.556 | 0.212 |
| Readmission | 8 (3.76) | 9 (4.35) | 0.095 | 0.758 |
| 90 days mortality rate | 1 (0.47) | 1 (0.48) | 0.000 | 1.000 |
- 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