Kim HS, Kim SO, Kim BS. Use of a clinical pathway in laparoscopic gastrectomy for gastric cancer. World J Gastroenterol 2015; 21(48): 13507-13517 [PMID: 26730162 DOI: 10.3748/wjg.v21.i48.13507]
Corresponding Author of This Article
Byung Sik Kim, MD, PhD, Professor of Medicine, Department of Gastric Surgery, Asan Medical Center, Ulsan University, 88, Olympic-Ro 43-Gil, Seoul 138-736, South Korea. bskim@amc.seoul.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 28, 2015; 21(48): 13507-13517 Published online Dec 28, 2015. doi: 10.3748/wjg.v21.i48.13507
Use of a clinical pathway in laparoscopic gastrectomy for gastric cancer
Hee Sung Kim, Sun Oak Kim, Byung Sik Kim
Hee Sung Kim, Byung Sik Kim, Department of Gastric Surgery, Asan Medical Center, Ulsan University School of Medicine, Seoul 138-736, South Korea
Sun Oak Kim, Department of Clinical Epidemiology and Biostatistics, Asan Medical Center, Ulsan University School of Medicine, Seoul 138-736, South Korea
Author contributions: Kim HS and Kim BS designed and performed the research and wrote the paper; Kim HS collected data; Kim HS and Kim BS followed up with the patients; Kim SO performed the statistical analyses; all authors read and approved the final manuscript.
Correspondence to: Byung Sik Kim, MD, PhD, Professor of Medicine, Department of Gastric Surgery, Asan Medical Center, Ulsan University, 88, Olympic-Ro 43-Gil, Seoul 138-736, South Korea. bskim@amc.seoul.kr
Telephone: +82-2-30103491 Fax: +82-2-4749027
Received: July 8, 2015 Revised: September 20, 2015 Accepted: November 24, 2015 Published online: December 28, 2015
Core Tip
Core tip: Laparoscopic gastrectomy has been proven to enhance postoperative recovery compared to open gastrectomy for gastric cancer (GC) patients. Therefore, laparoscopic gastrectomy is thought to be a suitable procedure for a clinical pathway. In this study, we retrospectively analyzed the outcomes of a clinical pathway application for laparoscopic gastrectomy and tried to investigate the clinical factors that may influence a clinical pathway in a high-volume center. Laparoscopic gastrectomy for GC appears to be a good indicator for the application of a clinical pathway. For successful application, patients with risk factors (male, advanced age, total gastrectomy, combined operation, intraoperative events, American Society of Anesthesiologists score) should be managed carefully.
