TY  - JOUR
TI  - Previous open gastric surgery is not a contraindication for
laparoscopic gastric cancer surgery
AB  - history of previous open abdominal surgery adversely affects the number of retrieved lymph nodes and increases the length of hospital stay after subsequent laparoscopic
surgery. The aim of this study was to investigate the clinical significance of the previous open gastric surgery (POGS) for laparoscopic gastric cancer surgery (LGCS).
We retrospectively examined the medical records of 150 gastric cancer patients who had adenocarcinoma and were operated laparoscopically. Patients were divided into
two groups according to the history of POGS as POGS group (n=5) and none-POGS group (n=145). The laboratory parameters, clinical and operative data were assessed
between the groups. The preoperative data were similar in both groups, except for tumor location. The length of hospital stay was longer, the number of excised and
positive lymph nodes were lower in the POGS group (p=0.023, p=0.016, and p=0.045, respectively). The operation time was longer in the POGS group, although this difference
was not significant [300 min (120-720 min) to 390 min (360-430 min), p=0.057]. POGS in patients with POGS can be performed safely with similar perioperative
outcomes compared to the patients with none-POGS. POGS may prolong the hospital stay. In addition, the number of excised lymph nodes may be lower. Nevertheless,
POGS should not be regarded as a contraindication for LGCS.
AU  - sumer, fatih
AU  - AYDIN, MEHMET CAN
AU  - Bag, Yusuf Murat
AU  - Zengin, Akile
AU  - Kayaalp, Cuneyt
DO  - 10.5455/medscience.2021.08.268
PY  - 2022
JO  - Medicine Science
VL  - 11
IS  - 1
SN  - 2147-0634
SP  - 31
EP  - 35
DB  - TRDizin
UR  - http://search/yayin/detay/522663
ER  -