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DOI | 10.1159/000485197 | ||||
Año | 2018 | ||||
Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Introduction: The laparoscopic approach for the treatment of gastric cancer has many advantages. However, outside Asia there are few large case series. Aim: To evaluate postoperative morbidity, long-term survival, changes in indication, and the results of laparoscopic gastrectomy. Methods: We included all patients treated with a laparoscopic gastrectomy from 2005 to 2014. We compared results across 2 time periods: 2005-2011 and 2012-2014. Median follow-up was 39 months. Results: Two hundred and eleven patients underwent a laparoscopic gastrectomy (median age 64 years, 55% male patients). In 135 (64%) patients, a total gastrectomy was performed. Postoperative morbidity occurred in 29%. A significant increase in the indication of laparoscopic surgery for stages II-III (32 vs. 45%; p = 0.04) and higher lymph node count (27 vs. 33; p = 0.002) were observed between the 2 periods. The 5-year overall survival was 72%. According to the stage, the 5-year overall survival was 85, 63, and 54% for stage I, II, and III respectively (p < 0.001). Conclusions: There was an acceptable rate of postoperative complications and the long-term survival was in accordance with the disease stage. There was a higher indication of laparoscopic surgery in stages II-III disease, and higher lymph node count in the latter period of this study. (C) 2018 S. Karger AG, Basel
Ord. | Autor | Género | Institución - País |
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1 | NORERO-MUNOZ, ENRIQUE | Hombre |
Pontificia Universidad Católica de Chile - Chile
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2 | FUNKE-HINOJOSA, RICARDO ANDRES | Hombre |
Pontificia Universidad Católica de Chile - Chile
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3 | Garcia, Carlos | Hombre |
Universidad de Chile - Chile
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4 | Fernández, José Ignacio | Hombre |
Universidad Nacional Andrés Bello - Chile
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4 | Fernandez, Jose Ignacio | Hombre |
Universidad Nacional Andrés Bello - Chile
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5 | Lanzarini, Enrique | Hombre |
Universidad de Chile - Chile
Hospital Clínico de la Universidad de Chile - Chile Hospital Clínico Universidad de Chile - Chile |
6 | Rodriguez-Becerra, Jorge | Hombre |
Hosp San Fernando - Chile
Hospital de San Fernando - Chile |
7 | CERONI-VILLANELO, MARCO ANDRES | Hombre |
Pontificia Universidad Católica de Chile - Chile
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8 | Crovari, Fernando | Hombre |
Pontificia Universidad Católica de Chile - Chile
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9 | Pinto, Gerardo | Hombre |
Universidad Nacional Andrés Bello - Chile
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10 | Musleh, Maher | Hombre |
Universidad de Chile - Chile
Hospital Clínico de la Universidad de Chile - Chile Hospital Clínico Universidad de Chile - Chile |
11 | Gonzalez, Paulina | Mujer |
Pontificia Universidad Católica de Chile - Chile
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12 | Chilean Laparoscopic Gastrectomy S | Corporación |
Fuente |
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Digestive Surgery Department. Pontificia Universidad Catolica de Chile |
Digestive Surgery Department |
National Surgical Society of Chile |