RT Journal Article
SR Electronic
T1 Differences Between Laparoscopic and Open Gastrectomy on the Impact of Postoperative Infectious Complications on Prognosis
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 7109
OP 7117
DO 10.21873/anticanres.14740
VO 40
IS 12
A1 HIROMI NAGATA
A1 HIRONORI TSUJIMOTO
A1 KEITA KOUZU
A1 YUJIRO ITAZAKI
A1 YUSUKE ISHIBASHI
A1 SATOSHI TSUCHIYA
A1 TAKAO SUGIHARA
A1 NOZOMI ITO
A1 MANABU HARADA
A1 SHINSUKE NOMURA
A1 YOJI KISHI
A1 HIDEKI UENO
YR 2020
UL http://ar.iiarjournals.org/content/40/12/7109.abstract
AB Background/Aim: The aim of this study was to evaluate the impact of laparoscopic gastrectomy (LG) for gastric cancer on long-term survival in patients with postoperative infectious complications (PIC). Patients and Methods: A total of 608 patients who underwent gastrectomy were classified into two groups based on the surgical approach: LG (385 patients) and open gastrectomy (OG: 211 patients). Long-term survival after gastrectomy was compared between patients with and without PIC in both LG and OG groups. Results: Although the patients with PIC in OG group tended to have worse overall survival (OS) than those without PIC, the OS was not significantly different between the patients with and without PIC in LG group. Although multivariate analysis demonstrated that nodal involvement and PIC were significantly associated with OS in OG group, age and tumor depth, and not PIC, were associated with OS in LG group. Conclusion: PIC were negative predictors of clinical outcomes in patients with gastric cancer, particularly those who underwent OG, and long-term prognosis may be impacted less by PIC in patients undergoing LG.