Laparoscopic gastrectomy for gastric adenocarcinoma. Long-term results

• Published in: Revista española de enfermedades digestivas Vol. 98; no. 7; pp. 491 - 500
• Main Authors: Ibáñez Aguirre, F J, Azagra, J S, Erro Azcárate, M L, Goergen, M, Rico Selas, P, Moreno Elola-Olaso, A, Clemares de Lama, M, de Simone, P, Echenique Elizondo, M M
• Format: Journal Article
• Language: English
• Published: Spain Sociedad Española de Patología Digestiva 01.07.2006
• Subjects: Adenocarcinoma - surgery; Adult; Aged; Aged, 80 and over; Female; Gastrectomy - methods; Gastroenterology & Hepatology; Geriatrics & Gerontology; Humans; Infectious Diseases; Laparoscopy; Lymph Node Excision; Male; Middle Aged; Oncology; Pathology; Pharmacology & Pharmacy; Prospective Studies; Radiology, Nuclear Medicine & Medical Imaging; Stomach Neoplasms - surgery; Surgery; Treatment Outcome; Lymphadenectomy; Laparoscopy; Gastric adenocarcinoma; Oncological results; Gastrectomy
• DOI: 10.4321/S1130-01082006000700002
• ISSN: 1130-0108

The objective of our paper is to report on the long-term results of patients with gastric cancer treated by mini-invasive surgery with "intention-to-treat" laparoscopy. Between June 1993 and January 2006, 130 patients comprising 94 men and 36 women with gastric adenocarcinoma were prospectively selected by two surgical teams in three hospitals based on a prior agreement (CHU Charleroi, Belgium, Centre Hospitalier de Luxembourg and Zumárraga Hospital, Spain). Patients with adenocarcinoma of the cardia were excluded. Mean age of patients was 68 years (range, 37-85 years). Post-operative mortality within 60 days of operation was 6 patients; 109 patients were therefore properly followed up for an average of 49 months (range, 2-153 months).Average survival time for 10 non-resected patients was 4.5 months. Average survival rate for all 14 palliatively resected patients was 6.9 months. Actuarial 5-year survival rate for R0-type surgery was 35%. Global actuarial 5-year survival rate after resective surgery was 31%. Laparoscopic gastrectomy with any kind of lymphadenectomy is a major but safe operation with acceptable mortality and morbility rates in patients with advanced gastric cancer, usually in poor general condition. Laparoscopic gastrectomy for locally advanced cancers is equivalent to laparotomy as far as long-term oncological results are concerned.